Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $124.29 / $1,528.07	Facility		$68.34	$124.29	$1,528.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $156.74 / $295.00	Professional		$124.29	$156.74	$295.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $272.95 / $351.00	Professional		$272.95	$272.95	$351.00
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 $216.09 / $216.09 / $415.92	Professional		$216.09	$216.09	$415.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $209.79 / $291.73	Professional		$156.34	$209.79	$291.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $202.38 / $302.61 / $524.09	Professional		$202.38	$302.61	$524.09
United Facility/Professional Facility Modifier Low / Median / High Price $119.63 / $154.24 / $181.56	Facility		$119.63	$154.24	$181.56
United Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $155.62 / $259.37	Professional		$121.85	$155.62	$259.37