Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $239.88	Professional		$104.71	$134.90	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $223.87	Professional		$204.17	$204.17	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $269.15	Facility		$257.04	$257.04	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $190.55	Professional		$181.97	$181.97	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $208.93	Facility		$107.15	$169.82	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $190.55	Professional		$120.23	$125.89	$190.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $446.68	Professional		$141.25	$257.04	$446.68
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $257.04	Professional		$208.93	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $181.97	Facility		$91.20	$134.90	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $245.47	Professional		$112.20	$173.78	$245.47