Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.16 / $436.93 / $580.15	Facility		$246.16	$436.93	$580.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $197.24 / $361.16	Professional		$170.94	$197.24	$361.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.79 / $157.79 / $157.79	Professional		$157.79	$157.79	$157.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.08 / $262.99 / $328.74	Facility		$117.08	$262.99	$328.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $105.40 / $227.71	Professional		$105.40	$105.40	$227.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $307.69 / $952.14	Facility		$170.94	$307.69	$952.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.15 / $164.10 / $383.94	Professional		$146.15	$164.10	$383.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $72.61 / $262.99	Professional		$72.61	$72.61	$262.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $72.61 / $72.61	Professional		$72.61	$72.61	$72.61
United Facility/Professional Facility Modifier Low / Median / High Price $394.49 / $394.49 / $394.49	Facility		$394.49	$394.49	$394.49
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $121.99 / $312.72	Professional		$110.46	$121.99	$312.72