Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $327.85 / $398.49	Facility		$173.03	$327.85	$398.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.75 / $250.89	Professional		$173.03	$174.75	$250.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $172.55 / $172.55	Professional		$172.55	$172.55	$172.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $181.68 / $216.74	Facility		$173.03	$181.68	$216.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $179.06	Professional		$173.03	$173.03	$179.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.71 / $173.03 / $173.03	Facility		$165.71	$173.03	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $180.44 / $187.72 / $217.40	Professional		$180.44	$187.72	$217.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $176.09 / $176.09 / $176.09	Facility		$176.09	$176.09	$176.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $183.41	Professional		$173.03	$173.03	$183.41