Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.50 / $236.96 / $638.54	Facility		$133.50	$236.96	$638.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $103.88 / $164.02	Professional		$79.87	$103.88	$164.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $142.63	Professional		$71.31	$71.31	$142.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $142.63 / $178.29	Facility		$63.50	$142.63	$178.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $96.56	Professional		$57.05	$57.05	$96.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $166.88 / $516.39	Facility		$92.71	$166.88	$516.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $80.98 / $208.23	Professional		$73.61	$80.98	$208.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $35.65 / $149.76	Professional		$35.65	$35.65	$149.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Professional		$35.65	$35.65	$35.65
United Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $213.95 / $213.95	Facility		$213.95	$213.95	$213.95
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $189.24	Professional		$59.90	$59.90	$189.24