Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $60.43 / $82.23	Facility		$54.99	$60.43	$82.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $82.20 / $366.00	Professional		$55.17	$82.20	$366.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $76.20 / $76.20	Professional		$76.20	$76.20	$76.20
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 $56.59 / $65.98 / $99.81	Professional		$56.59	$65.98	$99.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $53.43 / $53.43	Facility		$53.43	$53.43	$53.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $90.64 / $131.97	Professional		$60.43	$90.64	$131.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $77.66 / $133.38	Professional		$0.71	$77.66	$133.38
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 $0.48 / $80.20 / $130.77	Professional		$0.48	$80.20	$130.77
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 $73.83 / $98.27 / $149.16	Professional		$73.83	$98.27	$149.16