Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $143.41 / $188.92	Facility		$124.29	$143.41	$188.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $143.41 / $741.00	Professional		$103.48	$143.41	$741.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $309.36 / $309.36	Professional		$272.95	$309.36	$309.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.95 / $363.95 / $363.95	Facility		$363.95	$363.95	$363.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $189.42 / $415.92	Professional		$189.42	$189.42	$415.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $267.93	Facility		$184.69	$194.92	$267.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $194.92 / $240.52	Professional		$142.29	$194.92	$240.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $202.38 / $291.16 / $493.00	Professional		$202.38	$291.16	$493.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $155.62 / $243.17	Professional		$121.85	$155.62	$243.17