Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.68 / $252.63 / $320.97	Facility		$143.68	$252.63	$320.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $157.34 / $175.00	Professional		$76.75	$157.34	$175.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Professional		$92.10	$92.10	$92.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $153.50 / $191.88	Facility		$68.34	$153.50	$191.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $79.51 / $112.66	Professional		$61.40	$79.51	$112.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $179.60 / $555.77	Facility		$99.78	$179.60	$555.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $176.76 / $220.96	Professional		$89.80	$176.76	$220.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $153.50 / $161.18	Professional		$38.38	$153.50	$161.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $38.38 / $38.38	Professional		$38.38	$38.38	$38.38
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $64.47 / $153.50	Professional		$64.47	$64.47	$153.50