Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $232.07 / $383.57	Facility		$156.59	$232.07	$383.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $104.54 / $128.40	Professional		$85.59	$104.54	$128.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $78.30 / $78.30	Professional		$78.30	$78.30	$78.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $156.59 / $195.74	Facility		$69.70	$156.59	$195.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $94.73 / $120.26	Professional		$31.98	$94.73	$120.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $183.20 / $566.91	Facility		$101.78	$183.20	$566.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $163.50 / $204.38	Professional		$59.04	$163.50	$204.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $156.59 / $156.59	Professional		$122.99	$156.59	$156.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $122.99 / $122.99	Professional		$122.99	$122.99	$122.99
United Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $65.77 / $156.59	Professional		$51.66	$65.77	$156.59