Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $876.61 / $1,377.50	Facility		$128.30	$876.61	$1,377.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $116.31 / $584.00	Professional		$89.12	$116.31	$584.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $127.46 / $127.46	Professional		$127.46	$127.46	$127.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.75 / $169.69 / $437.00	Facility		$135.75	$169.69	$437.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $128.72 / $144.90	Professional		$87.42	$128.72	$144.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.86 / $168.41 / $498.40	Facility		$100.86	$168.41	$498.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $152.79 / $259.43	Professional		$101.62	$152.79	$259.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $141.08 / $214.69	Professional		$0.93	$141.08	$214.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $122.68 / $184.02	Professional		$0.93	$122.68	$184.02
United Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $182.03 / $182.03	Facility		$182.03	$182.03	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $146.16 / $208.85	Professional		$93.22	$146.16	$208.85