Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.70 / $304.70 / $782.34	Facility		$304.70	$304.70	$782.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.70 / $423.22 / $782.34	Professional		$304.70	$423.22	$782.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $705.36 / $705.36 / $705.36	Professional		$705.36	$705.36	$705.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.48 / $940.48 / $940.48	Facility		$940.48	$940.48	$940.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.70 / $510.00 / $1,069.35	Professional		$481.70	$510.00	$1,069.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $692.37	Facility		$501.15	$501.15	$692.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $501.15 / $600.59	Professional		$365.84	$501.15	$600.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $523.00 / $752.38 / $1,222.61	Professional		$523.00	$752.38	$1,222.61
United Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $400.12 / $628.41	Professional		$313.29	$400.12	$628.41