Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $231.43 / $409.09	Facility		$115.90	$231.43	$409.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $107.40 / $3,078.19	Professional		$106.32	$107.40	$3,078.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $163.25 / $163.25	Professional		$136.04	$163.25	$163.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.29 / $111.65 / $339.19	Facility		$97.29	$111.65	$339.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $136.04	Professional		$106.33	$106.33	$136.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $106.33 / $135.55	Facility		$106.33	$106.33	$135.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Professional		$106.33	$106.33	$106.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $115.36 / $417.50	Professional		$115.36	$115.36	$417.50
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $158.46 / $158.46 / $158.46	Facility		$158.46	$158.46	$158.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Professional		$106.33	$106.33	$106.33
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $112.71	Professional		$106.33	$106.33	$112.71