Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $114.82	Professional		$53.70	$79.43	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $190.55	Facility		$181.97	$181.97	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $107.15	Professional		$79.43	$81.28	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $275.42	Facility		$77.62	$107.15	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $117.49	Professional		$66.07	$77.62	$117.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $316.23	Professional		$100.00	$181.97	$316.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $181.97	Professional		$131.83	$177.83	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $66.07 / $870.96	Facility		$50.12	$66.07	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $162.18	Professional		$51.29	$95.50	$162.18