Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $132.38 / $32,691.38	Facility		$60.29	$132.38	$32,691.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $62.10 / $17,235.62	Professional		$60.28	$62.10	$17,235.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $66.30 / $70.27	Professional		$58.56	$66.30	$70.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $63.30 / $75.52	Facility		$60.29	$63.30	$75.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $60.78	Professional		$60.29	$60.29	$60.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $60.29 / $60.29	Facility		$57.60	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Professional		$60.29	$60.29	$60.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $65.41 / $72.19	Professional		$60.29	$65.41	$72.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $64.34 / $64.34	Facility		$64.34	$64.34	$64.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Professional		$60.29	$60.29	$60.29
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $63.91	Professional		$60.29	$60.29	$63.91