Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.31 / $544.57 / $2,480.00	Facility		$329.31	$544.57	$2,480.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $71.45 / $74.70 / $89.27	Facility	54	$71.45	$74.70	$89.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $107.52 / $226.22	Professional		$85.31	$107.52	$226.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.02 / $136.16 / $142.08	Professional		$126.02	$136.16	$142.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $106.96 / $183.76	Professional		$75.11	$106.96	$183.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.74 / $84.74 / $84.74	Facility		$84.74	$84.74	$84.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $117.86 / $194.86	Professional		$78.44	$117.86	$194.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $119.84 / $193.20	Professional		$88.68	$119.84	$193.20
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $123.55 / $149.81	Professional		$99.87	$123.55	$149.81
United Facility/Professional Facility Modifier Low / Median / High Price $94.13 / $1,277.00 / $1,998.00	Facility		$94.13	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $120.40 / $216.72	Professional		$91.08	$120.40	$216.72