Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $141.46 / $171.25	Facility		$74.45	$141.46	$171.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $75.09 / $4,257.00	Professional		$74.34	$75.09	$4,257.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Professional		$73.37	$73.37	$73.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $78.08 / $93.14	Facility		$74.36	$78.08	$93.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $77.26	Professional		$74.36	$74.36	$77.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.91 / $74.36 / $74.36	Facility		$72.91	$74.36	$74.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $74.36	Professional		$74.36	$74.36	$74.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $80.67 / $90.05	Professional		$75.58	$80.67	$90.05
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $78.55 / $78.55 / $78.55	Facility		$78.55	$78.55	$78.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $74.36	Professional		$74.36	$74.36	$74.36
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $78.81	Professional		$74.36	$74.36	$78.81