Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $93.73 / $887.86	Facility		$40.75	$93.73	$887.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $35.43 / $46.86	Professional		$30.56	$35.43	$46.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Professional		$24.45	$24.45	$24.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $40.75 / $50.94	Facility		$18.14	$40.75	$50.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $24.65 / $31.29	Professional		$20.12	$24.65	$31.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $47.68 / $147.55	Facility		$26.49	$47.68	$147.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $46.67 / $58.34	Professional		$30.61	$46.67	$58.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $40.75 / $42.79	Professional		$0.47	$40.75	$42.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $14.01 / $14.01	Professional		$14.01	$14.01	$14.01
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $23.91 / $56.94	Professional		$17.12	$23.91	$56.94