Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $309.03 / $758.58	Facility		$107.15	$309.03	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $204.17	Professional		$97.72	$112.20	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.33 / $213.80	Professional		$100.00	$102.33	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $208.93	Professional		$95.50	$131.83	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $128.82 / $177.83	Professional		$1.17	$128.82	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $158.49	Professional		$1.17	$1.17	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $107.15	Professional		$104.71	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $204.17	Professional		$95.50	$138.04	$204.17