Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $208.48 / $2,005.50	Facility		$125.49	$208.48	$2,005.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $129.59 / $172.33	Professional		$94.12	$129.59	$172.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $75.29 / $75.29	Professional		$75.29	$75.29	$75.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $125.49 / $156.86	Facility		$55.87	$125.49	$156.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $158.88	Professional		$70.62	$70.62	$158.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $146.83 / $454.34	Facility		$81.56	$146.83	$454.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $93.45 / $183.05	Professional		$90.71	$93.45	$183.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $42.83 / $131.76	Professional		$42.83	$42.83	$131.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $42.83 / $42.83	Professional		$42.83	$42.83	$42.83
United Facility/Professional Facility Modifier Low / Median / High Price $188.24 / $188.24 / $188.24	Facility		$188.24	$188.24	$188.24
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $103.97 / $216.58	Professional		$75.29	$103.97	$216.58