Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $151.36 / $380.19	Facility		$66.07	$151.36	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $223.87	Professional		$50.12	$64.57	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $109.65	Professional		$32.36	$37.15	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $58.88 / $169.82	Facility		$30.90	$58.88	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $89.13	Professional		$34.67	$34.67	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $81.28 / $208.93	Facility		$45.71	$81.28	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $63.10 / $102.33	Professional		$35.48	$63.10	$102.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $70.79 / $107.15	Professional		$21.88	$70.79	$107.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $97.72	Professional		$29.51	$41.69	$97.72