Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $149.09 / $180.49	Facility		$78.47	$149.09	$180.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $79.15 / $168.44	Professional		$78.37	$79.15	$168.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $87.77 / $87.77	Professional		$87.77	$87.77	$87.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $82.29 / $98.17	Facility		$78.37	$82.29	$98.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $81.43	Professional		$78.37	$78.37	$81.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $78.37 / $78.37	Facility		$77.09	$78.37	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $78.37	Professional		$78.37	$78.37	$78.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $85.02 / $100.38	Professional		$83.32	$85.02	$100.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $83.42 / $83.42	Facility		$83.42	$83.42	$83.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $78.37	Professional		$78.37	$78.37	$78.37
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $83.07	Professional		$78.37	$78.37	$83.07