Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $100.00	Professional		$46.77	$69.18	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $141.25	Facility		$134.90	$134.90	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Professional		$69.18	$69.18	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $117.49	Facility		$67.61	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $97.72	Professional		$57.54	$67.61	$97.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $239.88	Professional		$75.86	$134.90	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $147.91	Professional		$125.89	$134.90	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $56.23 / $67.61	Facility		$43.65	$56.23	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $123.03	Professional		$44.67	$81.28	$123.03