Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $491.19 / $595.65	Facility		$258.64	$491.19	$595.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $258.64 / $375.02	Professional		$258.63	$258.64	$375.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $248.93 / $248.93	Professional		$248.93	$248.93	$248.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.66 / $271.57 / $825.06	Facility		$236.66	$271.57	$825.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $268.27	Professional		$258.64	$258.64	$268.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $258.64 / $258.64	Facility		$248.93	$258.64	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $280.60 / $304.22	Professional		$258.58	$280.60	$304.22
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.08 / $265.08 / $265.08	Facility		$265.08	$265.08	$265.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $274.16	Professional		$258.64	$258.64	$274.16