Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $166.14 / $220.60	Facility		$93.60	$166.14	$220.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $123.00 / $124.85	Professional		$74.14	$123.00	$124.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $100.00 / $125.00	Facility		$44.52	$100.00	$125.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $51.80 / $73.40	Professional		$40.00	$51.80	$73.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $117.00 / $362.05	Facility		$65.00	$117.00	$362.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $114.81 / $143.52	Professional		$56.18	$114.81	$143.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $100.00 / $105.00	Professional		$25.75	$100.00	$105.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $25.75 / $25.75	Professional		$25.75	$25.75	$25.75
United Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $42.93 / $100.00	Professional		$36.63	$42.93	$100.00