Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $361.93 / $1,760.34	Facility		$150.36	$361.93	$1,760.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $222.09 / $916.00	Professional		$162.27	$222.09	$916.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $186.57 / $406.54	Professional		$149.26	$186.57	$406.54
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 $176.84 / $204.56 / $248.25	Professional		$176.84	$204.56	$248.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.77 / $221.00 / $363.81	Professional		$145.77	$221.00	$363.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $229.46 / $326.25	Professional		$6.10	$229.46	$326.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $195.36 / $293.04	Professional		$3.06	$195.36	$293.04
United Facility/Professional Professional Modifier Low / Median / High Price $166.62 / $228.81 / $360.53	Professional		$166.62	$228.81	$360.53