Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $104.71	Professional		$53.70	$75.86	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $114.82	Professional		$66.07	$100.00	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $158.49	Facility		$151.36	$151.36	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $100.00	Professional		$77.62	$79.43	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $93.33 / $112.20	Facility		$69.18	$93.33	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $100.00	Professional		$63.10	$67.61	$100.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $263.03	Professional		$85.11	$151.36	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $151.36	Professional		$125.89	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $63.10 / $74.13	Facility		$47.86	$63.10	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $138.04	Professional		$48.98	$91.20	$138.04