Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $239.88	Professional		$77.62	$95.50	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $109.65	Professional		$39.81	$72.44	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $144.54	Professional		$66.07	$89.13	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $165.96	Professional		$70.79	$100.00	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $147.91	Professional		$85.11	$112.20	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $162.18	Professional		$128.82	$162.18	$162.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $147.91	Professional		$87.10	$104.71	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $162.18	Professional		$75.86	$104.71	$162.18