Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $109.65	Facility		$81.28	$87.10	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $346.74	Professional		$77.62	$120.23	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $141.25	Professional		$89.13	$109.65	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $208.93	Professional		$63.10	$104.71	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $213.80	Professional		$91.20	$123.03	$213.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $104.71 / $186.21	Professional		$1.00	$104.71	$186.21
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	25	$630.96	$630.96	$630.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $158.49	Professional		$1.00	$1.00	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $380.19	Professional		$104.71	$104.71	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $194.98	Professional		$83.18	$114.82	$194.98