Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.67 / $64.47 / $89.73	Facility		$58.67	$64.47	$89.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $82.40 / $388.00	Professional		$57.03	$82.40	$388.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $101.37 / $132.22	Professional		$83.74	$101.37	$132.22
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 $59.46 / $68.59 / $103.74	Professional		$59.46	$68.59	$103.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.51 / $122.71 / $136.35	Professional	50	$87.51	$122.71	$136.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $61.94 / $61.94	Facility		$61.94	$61.94	$61.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $93.48 / $143.57	Professional		$60.91	$93.48	$143.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $85.38 / $148.13	Professional		$0.53	$85.38	$148.13
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $293.51 / $293.51 / $293.51	Facility		$293.51	$293.51	$293.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $87.05 / $145.22	Professional		$0.36	$87.05	$145.22
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $97.58 / $153.09	Professional		$75.33	$97.58	$153.09