Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.49 / $213.87 / $832.75	Facility		$120.49	$213.87	$832.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $132.94 / $251.02	Professional		$96.55	$132.94	$251.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $77.23 / $77.23	Professional		$77.23	$77.23	$77.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.31 / $128.72 / $160.91	Facility		$57.31	$128.72	$160.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $63.57 / $99.63	Professional		$63.57	$63.57	$99.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $150.61 / $466.04	Facility		$83.67	$150.61	$466.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $105.54 / $187.77	Professional		$93.59	$105.54	$187.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $44.24 / $135.16	Professional		$44.24	$44.24	$135.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $44.24 / $44.24	Professional		$44.24	$44.24	$44.24
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $76.08 / $245.50	Professional		$54.07	$76.08	$245.50