Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.97 / $427.73 / $567.92	Facility		$240.97	$427.73	$567.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $200.81 / $1,655.40	Professional		$144.16	$200.81	$1,655.40
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 / $289.83	Professional		$127.14	$127.14	$289.83
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 / $205.94 / $375.55	Professional		$187.18	$205.94	$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 / $148.63 / $491.00	Professional		$108.13	$148.63	$491.00