Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.14 / $112.20 / $808.50	Facility		$55.14	$112.20	$808.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $45.42 / $46.10	Professional		$33.06	$45.42	$46.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $30.52	Professional		$30.52	$30.52	$30.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $50.86 / $63.58	Facility		$22.64	$50.86	$63.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $30.77 / $39.06	Professional		$25.11	$30.77	$39.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $59.51 / $184.14	Facility		$33.06	$59.51	$184.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $58.23 / $72.79	Professional		$38.17	$58.23	$72.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $50.86 / $53.40	Professional		$0.50	$50.86	$53.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $17.48 / $17.48	Professional		$17.48	$17.48	$17.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $29.84 / $50.86	Professional		$21.36	$29.84	$50.86