Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $107.15 / $144.54	Facility		$8.91	$107.15	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $338.84	Professional		$67.61	$109.65	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $114.82	Professional		$87.10	$107.15	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $151.36	Professional		$72.44	$89.13	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $190.55	Professional		$87.10	$125.89	$190.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $134.90	Professional		$1.10	$1.10	$134.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $181.97	Professional		$87.10	$112.20	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $208.93	Professional		$87.10	$123.03	$208.93