Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $19.19 / $24.60	Professional		$16.14	$19.19	$24.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $24.11 / $37.50	Professional		$24.11	$24.11	$37.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $29.42 / $30.10	Professional		$15.75	$29.42	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $29.75	Professional		$19.00	$19.00	$29.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.20 / $20.00	Professional		$0.18	$0.20	$20.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $177.57 / $177.57 / $177.57	Facility		$177.57	$177.57	$177.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $41.69 / $68.00	Professional		$32.00	$41.69	$68.00