Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $288.40	Professional		$33.11	$63.10	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $45.71	Professional		$24.55	$28.84	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $70.79	Professional		$33.88	$63.10	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $89.13	Professional		$47.86	$47.86	$89.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $39.81 / $56.23	Professional		$0.45	$39.81	$56.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $50.12	Professional		$0.45	$0.45	$50.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $57.54 / $77.62	Professional		$33.88	$57.54	$77.62