Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $162.18 / $204.17	Facility		$79.43	$162.18	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $5,888.44	Professional		$79.43	$81.28	$5,888.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $257.04	Facility		$79.43	$85.11	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $81.28	Professional		$79.43	$79.43	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $79.43 / $79.43	Facility		$77.62	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $91.20	Professional		$85.11	$87.10	$91.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $83.18	Professional		$81.28	$81.28	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $95.50	Professional		$79.43	$79.43	$95.50