Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $141.25 / $177.83	Facility		$131.83	$141.25	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $257.04	Professional		$128.82	$165.96	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $186.21	Professional		$144.54	$162.18	$186.21
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $134.90 / $154.88 / $186.21	Professional	25	$134.90	$154.88	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $245.47	Professional		$154.88	$165.96	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $398.11	Professional		$131.83	$295.12	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $208.93 / $323.59	Professional		$1.00	$208.93	$323.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $245.47 / $288.40	Professional		$1.00	$245.47	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $190.55	Professional		$162.18	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $323.59	Professional		$107.15	$169.82	$323.59