Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.92 / $84.72 / $3,255.38	Facility		$43.92	$84.72	$3,255.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $41.91 / $5,550.00	Professional		$40.28	$41.91	$5,550.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $53.00 / $53.51	Professional		$44.59	$53.00	$53.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $42.30 / $50.47	Facility		$40.29	$42.30	$50.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $44.59	Professional		$40.29	$40.29	$44.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $51.84	Facility		$40.29	$40.29	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $75.00	Professional		$39.83	$39.83	$75.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $59.86 / $59.86	Facility		$59.86	$59.86	$59.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $42.71	Professional		$40.29	$40.29	$42.71