Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $267.56 / $617.40	Facility		$55.10	$267.56	$617.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $55.10 / $124.80	Professional		$55.10	$55.10	$124.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $59.33 / $180.24	Facility		$51.70	$59.33	$180.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.50	Professional		$56.42	$56.42	$56.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $66.38 / $66.38	Professional		$64.70	$66.38	$66.38
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Professional		$56.50	$56.50	$56.50