Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.24 / $509.58 / $2,210.84	Facility		$239.24	$509.58	$2,210.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.78 / $239.24 / $380.75	Professional		$227.78	$239.24	$380.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $173.17 / $173.17	Professional		$173.17	$173.17	$173.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.00 / $1,310.00 / $1,545.00	Facility		$1,310.00	$1,310.00	$1,545.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.06 / $232.57 / $282.25	Professional		$226.06	$232.57	$282.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.56 / $407.98 / $698.59	Facility		$148.56	$407.98	$698.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $357.63 / $443.95	Professional		$219.82	$357.63	$443.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $339.57 / $626.34	Professional		$1.88	$339.57	$626.34
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $290.64 / $290.64 / $290.64	Facility		$290.64	$290.64	$290.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $372.53 / $587.19	Professional		$0.95	$372.53	$587.19
United Facility/Professional Professional Modifier Low / Median / High Price $133.29 / $322.39 / $484.45	Professional		$133.29	$322.39	$484.45