Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $125.89	Professional		$33.11	$63.10	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $123.03	Facility		$117.49	$117.49	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $83.18	Professional		$64.57	$66.07	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $66.07 / $380.19	Facility		$56.23	$66.07	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $70.79	Professional		$47.86	$47.86	$70.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $204.17	Professional		$66.07	$117.49	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $120.23	Professional		$104.71	$117.49	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $61.66	Facility		$39.81	$52.48	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $107.15	Professional		$40.74	$75.86	$107.15