Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $207.63 / $249.81	Facility		$109.28	$207.63	$249.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $109.55 / $1,095.58	Professional		$108.46	$109.55	$1,095.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $109.28 / $109.28	Professional		$109.28	$109.28	$109.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $113.89 / $346.02	Facility		$99.25	$113.89	$346.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $109.28	Professional		$108.47	$108.47	$109.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $108.47 / $136.05	Facility		$108.47	$108.47	$136.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $117.68 / $192.09	Professional		$117.68	$117.68	$192.09
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $147.08 / $147.08 / $147.08	Facility		$147.08	$147.08	$147.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $114.98	Professional		$108.47	$108.47	$114.98