Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $371.54 / $501.19	Facility		$169.82	$371.54	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $302.00	Professional		$162.18	$177.83	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $169.82	Professional		$60.26	$141.25	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $537.03	Facility		$173.78	$173.78	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $213.80	Professional		$162.18	$199.53	$213.80