Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $123.03 / $154.88	Facility		$60.26	$123.03	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $19,952.62	Professional		$60.26	$63.10	$19,952.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $64.57 / $194.98	Facility		$61.66	$64.57	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $64.57	Professional		$61.66	$61.66	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $64.57	Facility		$61.66	$61.66	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $93.33	Professional		$83.18	$83.18	$93.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $63.10	Professional		$60.26	$60.26	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $79.43	Professional		$61.66	$61.66	$79.43