Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $119.94 / $176.83	Facility		$67.56	$119.94	$176.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $52.18 / $56.31	Professional		$46.92	$52.18	$56.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Professional		$43.31	$43.31	$43.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $72.19 / $90.24	Facility		$32.14	$72.19	$90.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $43.67 / $55.44	Professional		$28.88	$43.67	$55.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $84.46 / $261.33	Facility		$46.92	$84.46	$261.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $83.01 / $103.77	Professional		$36.01	$83.01	$103.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $72.19 / $75.80	Professional		$18.05	$72.19	$75.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $72.19	Professional		$30.32	$30.32	$72.19