Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $49.98 / $57.67	Facility		$49.98	$49.98	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $49.98 / $314.00	Professional		$36.79	$49.98	$314.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $109.77 / $109.77	Professional		$109.77	$109.77	$109.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.36 / $146.36 / $146.36	Facility		$146.36	$146.36	$146.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $67.73 / $147.93	Professional		$65.00	$67.73	$147.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $88.85	Facility		$84.33	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $78.50 / $96.74	Professional		$64.86	$78.50	$96.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $121.70 / $210.76	Professional		$81.40	$121.70	$210.76
United Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $55.35 / $92.25	Professional		$43.34	$55.35	$92.25