Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $275.42	Professional		$114.82	$151.36	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $154.88	Professional		$91.20	$138.04	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $288.40	Professional		$125.89	$199.53	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $234.42	Professional		$123.03	$165.96	$234.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $144.54 / $213.80	Professional		$1.15	$144.54	$213.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.15 / $213.80	Professional		$1.15	$1.15	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $218.78	Professional		$114.82	$144.54	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $263.03	Professional		$114.82	$162.18	$263.03