Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $263.03	Facility		$104.71	$208.93	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $3,630.78	Professional		$104.71	$104.71	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $331.13	Facility		$104.71	$109.65	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Professional		$104.71	$104.71	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $134.90	Facility		$104.71	$104.71	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $190.55	Professional		$162.18	$162.18	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $371.54	Professional		$72.44	$72.44	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $151.36	Professional		$104.71	$104.71	$151.36