Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $1,082.59 / $1,157.34	Facility		$95.46	$1,082.59	$1,157.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $57.53 / $88.45	Professional		$34.14	$57.53	$88.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $38.65	Professional		$38.65	$38.65	$38.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $64.41 / $80.51	Facility		$28.68	$64.41	$80.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $38.96 / $49.46	Professional		$31.81	$38.96	$49.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $75.37 / $233.22	Facility		$41.87	$75.37	$233.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $73.93 / $92.41	Professional		$48.26	$73.93	$92.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $64.41 / $67.63	Professional		$0.17	$64.41	$67.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $12.77 / $12.77	Professional		$12.77	$12.77	$12.77
United Facility/Professional Facility Modifier Low / Median / High Price $96.62 / $96.62 / $96.62	Facility		$96.62	$96.62	$96.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $37.79 / $89.99	Professional		$27.05	$37.79	$89.99