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 $37.15 / $51.29 / $165.96	Professional		$37.15	$51.29	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
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 $52.48 / $52.48 / $69.18	Professional		$52.48	$52.48	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $53.70 / $102.33	Facility		$47.86	$53.70	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $53.70	Professional		$38.90	$38.90	$53.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $204.17	Professional		$67.61	$117.49	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $117.49	Professional		$87.10	$114.82	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $42.66 / $50.12	Facility		$32.36	$42.66	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $93.33	Professional		$33.88	$61.66	$93.33