Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $345.54 / $7,854.38	Facility		$176.45	$345.54	$7,854.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $194.09 / $2,312.38	Professional		$176.45	$194.09	$2,312.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $186.50 / $186.50	Professional		$155.41	$186.50	$186.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.44 / $185.27 / $562.88	Facility		$161.44	$185.27	$562.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $176.45 / $176.45	Professional		$161.28	$176.45	$176.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $176.45 / $180.79	Facility		$176.45	$176.45	$180.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $249.69	Professional		$176.45	$176.45	$249.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $191.43 / $191.43 / $542.03	Professional		$191.43	$191.43	$542.03
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $195.08 / $195.08 / $195.08	Facility		$195.08	$195.08	$195.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $176.45	Professional		$176.45	$176.45	$176.45
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $187.04	Professional		$176.45	$176.45	$187.04