Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $245.47	Professional		$83.18	$83.18	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $89.13	Professional		$74.13	$74.13	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $269.15	Facility		$89.13	$89.13	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $131.83	Professional		$83.18	$102.33	$131.83