Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.47 / $272.41 / $361.70	Facility		$153.47	$272.41	$361.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $122.97 / $225.16	Professional		$101.24	$122.97	$225.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $98.38 / $98.38	Professional		$98.38	$98.38	$98.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $163.96 / $204.95	Facility		$72.98	$163.96	$204.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $80.97 / $99.19	Professional		$80.97	$80.97	$99.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $191.83 / $593.59	Facility		$106.57	$191.83	$593.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $199.63 / $613.15	Professional		$83.39	$199.63	$613.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $55.92 / $172.16	Professional		$55.92	$55.92	$172.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $55.92 / $55.92	Professional		$55.92	$55.92	$55.92
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $93.95 / $223.69	Professional		$30.00	$93.95	$223.69