Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $120.44 / $143.02	Facility		$63.39	$120.44	$143.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.71 / $78.23	Professional		$62.10	$62.71	$78.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $63.39 / $63.39	Professional		$63.39	$63.39	$63.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.82 / $65.20 / $198.10	Facility		$56.82	$65.20	$198.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $65.78	Professional		$62.10	$62.10	$65.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $63.88	Facility		$62.10	$62.10	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Professional		$62.10	$62.10	$62.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $67.37 / $92.77	Professional		$67.37	$67.37	$92.77
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Facility		$71.37	$71.37	$71.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Professional		$62.10	$62.10	$62.10
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $65.83	Professional		$62.10	$62.10	$65.83