Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $480.10 / $1,405.46	Facility		$257.45	$480.10	$1,405.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $222.77 / $502.03	Professional		$193.09	$222.77	$502.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $154.47	Professional		$154.47	$154.47	$154.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.62 / $257.45 / $321.81	Facility		$114.62	$257.45	$321.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $127.14 / $202.80	Professional		$127.14	$127.14	$202.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.34 / $301.20 / $932.08	Facility		$167.34	$301.20	$932.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.18 / $192.84 / $375.55	Professional		$187.18	$192.84	$375.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $88.47 / $257.45	Professional		$88.47	$88.47	$257.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $88.47 / $88.47	Professional		$88.47	$88.47	$88.47
United Facility/Professional Facility Modifier Low / Median / High Price $386.18 / $386.18 / $386.18	Facility		$386.18	$386.18	$386.18
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $151.07 / $491.00	Professional		$108.13	$151.07	$491.00