Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $91.20 / $251.19	Facility		$28.18	$91.20	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $281.84	Professional		$32.36	$56.23	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $79.43	Professional		$50.12	$64.57	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Facility		$63.10	$63.10	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $60.26	Professional		$48.98	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $67.61 / $173.78	Facility		$47.86	$67.61	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $79.43	Professional		$48.98	$48.98	$79.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $109.65	Professional		$44.67	$63.10	$109.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $102.33	Professional		$63.10	$63.10	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $48.98 / $89.13	Facility		$37.15	$48.98	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $79.43	Professional		$33.11	$58.88	$79.43