Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $124.37 / $556.54	Facility		$74.86	$124.37	$556.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $54.11 / $63.03	Professional		$52.40	$54.11	$63.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $44.92	Professional		$44.92	$44.92	$44.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $74.86 / $93.58	Facility		$33.33	$74.86	$93.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $45.29 / $57.49	Professional		$36.97	$45.29	$57.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $87.59 / $271.04	Facility		$48.66	$87.59	$271.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $85.90 / $107.38	Professional		$48.95	$85.90	$107.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $74.86 / $101.97	Professional		$74.86	$74.86	$101.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $101.97 / $101.97	Professional		$101.97	$101.97	$101.97
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $42.83 / $74.86	Professional		$31.44	$42.83	$74.86