Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $213.80 / $537.03	Facility		$104.71	$213.80	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $707.95	Professional		$104.71	$147.91	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $123.03	Professional		$104.71	$109.65	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $338.84	Facility		$104.71	$109.65	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $112.20	Professional		$104.71	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $120.23	Facility		$104.71	$104.71	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $371.54	Professional		$173.78	$371.54	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $407.38	Professional		$104.71	$104.71	$407.38