Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $127.98 / $494.24	Facility		$67.36	$127.98	$494.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $60.62 / $78.68	Professional		$52.54	$60.62	$78.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $40.42 / $40.42	Professional		$40.42	$40.42	$40.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $67.36 / $84.20	Facility		$29.99	$67.36	$84.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $40.75 / $51.73	Professional		$33.26	$40.75	$51.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $78.80 / $243.85	Facility		$43.78	$78.80	$243.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $77.23 / $96.54	Professional		$50.42	$77.23	$96.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $67.36 / $70.73	Professional		$0.68	$67.36	$70.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $23.15 / $23.15	Professional		$23.15	$23.15	$23.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.07 / $94.11	Professional		$28.29	$40.07	$94.11