Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $302.00 / $758.58	Facility		$134.90	$302.00	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $245.47	Professional		$75.86	$134.90	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $120.23	Professional		$70.79	$87.10	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $120.23 / $338.84	Facility		$63.10	$120.23	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $173.78	Professional		$63.10	$74.13	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $165.96 / $426.58	Facility		$93.33	$165.96	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $208.93	Professional		$70.79	$112.20	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $141.25 / $218.78	Professional		$43.65	$141.25	$218.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Facility		$87.10	$87.10	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $190.55	Professional		$60.26	$79.43	$190.55