Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.97 / $77.97 / $89.97	Facility		$77.97	$77.97	$89.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $120.25 / $492.00	Professional		$77.97	$120.25	$492.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.24 / $171.24 / $171.24	Professional		$171.24	$171.24	$171.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $228.32 / $228.32	Facility		$228.32	$228.32	$228.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $127.31 / $278.64	Professional		$122.40	$127.31	$278.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $168.10	Facility		$130.59	$130.59	$168.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $95.33 / $148.10	Professional		$95.33	$95.33	$148.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $189.85 / $328.78	Professional		$126.98	$189.85	$328.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $104.27 / $152.58	Professional		$81.64	$104.27	$152.58