Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $177.83	Professional		$102.33	$125.89	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $141.25	Professional		$97.72	$117.49	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $208.93	Professional		$85.11	$128.82	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $257.04	Professional		$102.33	$147.91	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $154.88 / $208.93	Professional		$1.26	$154.88	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $194.98 / $239.88	Professional		$1.15	$194.98	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $165.96	Professional		$64.57	$128.82	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $229.09	Professional		$79.43	$141.25	$229.09