Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $49.71 / $112.61	Facility		$42.13	$49.71	$112.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $84.26	Professional		$42.13	$42.13	$84.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $25.28 / $25.28	Professional		$25.28	$25.28	$25.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $42.13 / $101.11	Facility		$13.69	$42.13	$101.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $25.69 / $42.13	Professional		$16.85	$25.69	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $29.22 / $49.28	Facility		$28.93	$29.22	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $48.40 / $60.50	Professional		$23.23	$48.40	$60.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $44.24	Professional		$42.13	$42.13	$44.24
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $42.13	Professional		$17.69	$17.69	$42.13