Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $177.83 / $239.88	Facility		$19.05	$177.83	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $707.95	Professional		$141.25	$199.53	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $251.19	Professional		$169.82	$204.17	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $269.15	Professional		$141.25	$158.49	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $346.74	Professional		$169.82	$239.88	$346.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $269.15	Professional		$1.91	$1.91	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $1.91	Professional		$1.91	$1.91	$1.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $346.74	Professional		$177.83	$208.93	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $398.11	Professional		$165.96	$229.09	$398.11