Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $257.04 / $630.96	Facility		$87.10	$257.04	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $34.67 / $134.90	Professional		$14.13	$34.67	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $22.91	Professional		$10.96	$13.49	$22.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $13.18 / $13.18 / $13.18	Professional	50	$13.18	$13.18	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $24.55	Professional		$14.13	$21.88	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $38.90	Professional		$20.42	$20.42	$38.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $18.20 / $25.70	Professional		$0.18	$18.20	$25.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $22.91	Professional		$0.18	$0.18	$22.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $25.12 / $31.62	Professional		$9.33	$25.12	$31.62