Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $97.94 / $731.30	Facility		$49.33	$97.94	$731.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $42.28 / $46.98	Professional		$36.64	$42.28	$46.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $28.19	Professional		$28.19	$28.19	$28.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $46.98 / $58.73	Facility		$20.92	$46.98	$58.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $28.42 / $36.08	Professional		$23.20	$28.42	$36.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $54.97 / $170.11	Facility		$30.54	$54.97	$170.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $54.10 / $67.63	Professional		$35.29	$54.10	$67.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $46.98 / $49.33	Professional		$0.51	$46.98	$49.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $26.92 / $46.98	Professional		$19.73	$26.92	$46.98