Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.16 / $329.16 / $329.16	Facility		$329.16	$329.16	$329.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $291.14 / $460.78	Professional		$220.77	$291.14	$460.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.54 / $150.66 / $201.68	Professional	52	$104.54	$150.66	$201.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.13 / $280.67 / $616.50	Professional		$263.13	$280.67	$616.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $305.52 / $501.93	Professional		$213.70	$305.52	$501.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $288.64 / $487.64	Professional		$216.48	$288.64	$487.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $292.83 / $462.60	Professional		$1.75	$292.83	$462.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $308.39 / $462.60	Professional		$1.75	$308.39	$462.60
United Facility/Professional Professional Modifier Low / Median / High Price $215.36 / $271.50 / $460.37	Professional		$215.36	$271.50	$460.37