Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $190.55 / $44,668.36	Facility		$93.33	$190.55	$44,668.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $10,000.00	Professional		$93.33	$93.33	$10,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $97.72 / $302.00	Facility		$93.33	$97.72	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Professional		$93.33	$93.33	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Facility		$89.13	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $107.15	Professional		$102.33	$102.33	$107.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $97.72	Professional		$93.33	$93.33	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $112.20	Professional		$93.33	$93.33	$112.20