Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $331.13 / $8,317.64	Facility		$162.18	$331.13	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $467.74	Professional		$162.18	$162.18	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $524.81	Facility		$162.18	$173.78	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $165.96	Professional		$162.18	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $165.96	Facility		$162.18	$162.18	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $269.15	Professional		$204.17	$204.17	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $229.09	Professional		$162.18	$162.18	$229.09