Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $117.76 / $422.38	Facility		$67.19	$117.76	$422.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $52.70 / $61.98	Professional		$50.11	$52.70	$61.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $37.19 / $37.19	Professional		$37.19	$37.19	$37.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $61.98 / $77.48	Facility		$27.59	$61.98	$77.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $37.49 / $47.60	Professional		$30.61	$37.49	$47.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $72.52 / $224.42	Facility		$40.29	$72.52	$224.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $71.45 / $89.31	Professional		$46.46	$71.45	$89.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $61.98 / $65.08	Professional		$0.98	$61.98	$65.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $21.30 / $21.30	Professional		$21.30	$21.30	$21.30
United Facility/Professional Facility Modifier Low / Median / High Price $92.97 / $92.97 / $92.97	Facility		$92.97	$92.97	$92.97
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $36.36 / $61.98	Professional		$26.03	$36.36	$61.98