Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $162.18	Facility		$138.04	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $331.13	Professional		$147.91	$173.78	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $154.88	Professional		$147.91	$147.91	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $512.86	Facility		$169.82	$169.82	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Professional		$186.21	$186.21	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $199.53	Professional		$165.96	$165.96	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $194.98	Professional		$123.03	$194.98	$194.98