Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $134.90 / $588.84	Facility		$15.85	$134.90	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $537.03	Professional		$114.82	$162.18	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $186.21	Professional		$109.65	$134.90	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $346.74	Professional		$112.20	$144.54	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $281.84	Professional		$120.23	$194.98	$281.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $3.63	Professional		$1.51	$1.51	$3.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Select Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $660.69	Professional		$131.83	$138.04	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $302.00	Professional		$134.90	$194.98	$302.00