Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $63.67 / $73.45	Facility		$63.67	$63.67	$73.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $106.85 / $307.20	Professional		$63.67	$106.85	$307.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $139.82 / $139.82	Professional		$139.82	$139.82	$139.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $186.43 / $186.43	Facility		$186.43	$186.43	$186.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $112.34 / $227.52	Professional		$112.34	$112.34	$227.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $120.81	Facility		$118.47	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $120.81 / $128.79	Professional		$88.19	$120.81	$128.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $155.02 / $268.45	Professional		$103.68	$155.02	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $85.13 / $141.88	Professional		$66.66	$85.13	$141.88