Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $214.52 / $319.29	Facility		$122.00	$214.52	$319.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $117.30 / $254.18	Professional		$97.76	$117.30	$254.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $78.20 / $78.20	Professional		$78.20	$78.20	$78.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $130.35 / $162.94	Facility		$58.03	$130.35	$162.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $64.37 / $102.68	Professional		$64.37	$64.37	$102.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.73 / $152.51 / $471.95	Facility		$84.73	$152.51	$471.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $100.22 / $190.40	Professional		$94.85	$100.22	$190.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $44.79 / $136.87	Professional		$44.79	$44.79	$136.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $44.79 / $44.79	Professional		$44.79	$44.79	$44.79
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $78.20 / $182.11	Professional		$54.75	$78.20	$182.11