Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $93.81 / $108.25	Facility		$93.81	$93.81	$108.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $104.49 / $134.36	Professional		$93.81	$104.49	$134.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $200.37 / $200.37	Professional		$200.37	$200.37	$200.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.37 / $200.37 / $200.37	Facility		$200.37	$200.37	$200.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.89 / $197.68 / $230.89	Professional		$189.89	$197.68	$230.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $318.30	Facility		$214.95	$214.95	$318.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $256.13	Professional		$156.91	$214.95	$256.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $240.44 / $359.51	Professional		$150.28	$240.44	$359.51
United Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $161.78 / $269.63	Professional		$124.65	$161.78	$269.63