Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $134.90	Professional		$53.70	$72.44	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $123.03	Professional		$75.86	$114.82	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Facility		$165.96	$165.96	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $83.18 / $97.72	Professional		$81.28	$83.18	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $144.54	Facility		$66.07	$89.13	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $107.15	Professional		$60.26	$64.57	$107.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $288.40	Professional		$91.20	$165.96	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $165.96	Professional		$120.23	$162.18	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $79.43 / $91.20	Facility		$45.71	$79.43	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $147.91	Professional		$56.23	$87.10	$147.91