Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.58 / $240.65 / $319.52	Facility		$135.58	$240.65	$319.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $112.27 / $282.44	Professional		$98.49	$112.27	$282.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $144.84 / $181.05	Facility		$64.48	$144.84	$181.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $87.62	Professional		$71.52	$71.52	$87.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.15 / $169.47 / $524.41	Facility		$94.15	$169.47	$524.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $176.43 / $542.41	Professional		$73.56	$176.43	$542.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $49.40 / $152.08	Professional		$49.40	$49.40	$152.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $49.40 / $49.40	Professional		$49.40	$49.40	$49.40
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $86.90 / $197.59	Professional		$60.83	$86.90	$197.59