Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $363.08	Professional		$67.61	$95.50	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $93.33	Professional		$75.86	$87.10	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $229.09	Professional		$72.44	$107.15	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $177.83	Professional		$81.28	$125.89	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $112.20 / $199.53	Professional		$0.79	$112.20	$199.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $169.82	Professional		$0.79	$0.79	$169.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $100.00	Professional		$75.86	$91.20	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $186.21	Professional		$85.11	$117.49	$186.21