Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $52.48 / $8,709.64	Facility		$25.12	$52.48	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $1,659.59	Professional		$25.12	$25.70	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.92 / $83.18	Facility		$25.70	$26.92	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.70 / $25.70	Facility		$22.91	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Professional		$63.10	$63.10	$66.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $26.30	Professional		$25.70	$25.70	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Professional		$25.70	$25.70	$33.88