Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $109.65	Professional		$56.23	$72.44	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $151.36	Facility		$144.54	$144.54	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $104.71	Professional		$79.43	$81.28	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $112.20	Facility		$69.18	$81.28	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $165.96	Professional		$60.26	$60.26	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $257.04	Professional		$81.28	$144.54	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $151.36	Professional		$128.82	$144.54	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $64.57 / $104.71	Facility		$48.98	$64.57	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $134.90	Professional		$51.29	$93.33	$134.90