Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $116.64 / $216.96	Facility		$70.20	$116.64	$216.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $63.65 / $118.88	Professional		$54.76	$63.65	$118.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $42.12 / $70.20	Professional		$35.10	$42.12	$70.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $70.20 / $87.75	Facility		$31.25	$70.20	$87.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.65 / $55.30	Professional		$34.65	$34.65	$55.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $82.13 / $254.16	Facility		$45.63	$82.13	$254.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $52.58 / $102.28	Professional		$51.11	$52.58	$102.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $24.12 / $73.70	Professional		$24.12	$24.12	$73.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $24.12 / $24.12	Professional		$24.12	$24.12	$24.12
United Facility/Professional Facility Modifier Low / Median / High Price $105.30 / $105.30 / $105.30	Facility		$105.30	$105.30	$105.30
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $41.19 / $98.07	Professional		$29.48	$41.19	$98.07