Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $19.43 / $24.60	Professional		$16.14	$19.43	$24.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $35.47 / $37.50	Professional		$23.00	$35.47	$37.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $43.76 / $70.19	Professional		$18.10	$43.76	$70.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $53.46	Professional		$21.00	$21.00	$53.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.30 / $30.00	Professional		$0.27	$0.30	$30.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $102.23 / $102.23	Facility		$102.23	$102.23	$102.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
United Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $57.70 / $98.60	Professional		$47.48	$57.70	$98.60