Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $223.14 / $584.65	Facility		$114.43	$223.14	$584.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $80.09 / $95.76	Professional		$56.88	$80.09	$95.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $57.22 / $57.22	Professional		$57.22	$57.22	$57.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $114.43 / $143.04	Facility		$50.94	$114.43	$143.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $69.23 / $87.88	Professional		$31.98	$69.23	$87.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $133.88 / $414.30	Facility		$74.38	$133.88	$414.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $119.63 / $149.53	Professional		$38.36	$119.63	$149.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $114.43 / $114.43	Professional		$79.94	$114.43	$114.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $79.94 / $79.94	Professional		$79.94	$79.94	$79.94
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $48.06 / $114.43	Professional		$33.57	$48.06	$114.43