Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $91.20 / $5,128.61	Facility		$44.67	$91.20	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $7,079.46	Professional		$44.67	$79.43	$7,079.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $47.86 / $144.54	Facility		$45.71	$47.86	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.71 / $45.71	Facility		$38.02	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $74.13	Professional		$52.48	$52.48	$74.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $58.88	Professional		$45.71	$45.71	$58.88