Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $120.95 / $19,999.45	Facility		$55.57	$120.95	$19,999.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.11 / $80.56	Professional		$55.57	$56.11	$80.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $41.67 / $55.57	Professional		$41.67	$41.67	$55.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $58.35 / $69.61	Facility		$55.57	$58.35	$69.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $56.73	Professional		$55.57	$55.57	$56.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $55.57 / $55.57	Facility		$51.39	$55.57	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $60.28 / $70.48	Professional		$58.50	$60.28	$70.48
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $56.82 / $56.82 / $56.82	Facility		$56.82	$56.82	$56.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $58.90	Professional		$55.57	$55.57	$58.90