Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.61 / $518.00 / $899.22	Facility		$93.61	$518.00	$899.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $77.15 / $116.86	Professional		$66.38	$77.15	$116.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $51.06 / $51.06	Professional		$51.06	$51.06	$51.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.89 / $85.10 / $106.38	Facility		$37.89	$85.10	$106.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $42.02 / $67.03	Professional		$42.02	$42.02	$67.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.32 / $99.58 / $308.13	Facility		$55.32	$99.58	$308.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $63.74 / $124.31	Professional		$61.91	$63.74	$124.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $29.24 / $89.36	Professional		$29.24	$29.24	$89.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $29.24 / $29.24	Professional		$29.24	$29.24	$29.24
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $49.93 / $105.06	Professional		$35.74	$49.93	$105.06