Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $579.34 / $589.29	Facility		$85.58	$579.34	$589.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $39.61 / $75.28 / $105.27	Facility	52	$39.61	$75.28	$105.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $175.45 / $403.91	Professional		$79.31	$175.45	$403.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $135.80 / $135.80	Professional		$135.80	$135.80	$135.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $168.17 / $335.28	Professional		$90.31	$168.17	$335.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $156.56 / $312.99	Professional		$75.65	$156.56	$312.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $128.26 / $247.78	Professional		$0.55	$128.26	$247.78
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $366.58 / $366.58 / $366.58	Facility		$366.58	$366.58	$366.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $73.31 / $240.48	Professional		$0.49	$73.31	$240.48
United Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $246.24 / $401.54	Professional		$157.47	$246.24	$401.54