Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $114.82 / $154.88	Facility		$10.96	$114.82	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $338.84	Professional		$81.28	$123.03	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $120.23	Professional		$79.43	$97.72	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $234.42	Professional		$93.33	$109.65	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $194.98	Professional		$85.11	$134.90	$194.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.15 / $2.82	Professional		$1.15	$1.15	$2.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.15 / $1.15	Professional		$1.15	$1.15	$1.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $467.74	Professional		$95.50	$97.72	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $208.93	Professional		$95.50	$134.90	$208.93