Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $77.42 / $103.28	Facility		$77.42	$77.42	$103.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $110.38 / $294.98	Professional		$76.43	$110.38	$294.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $180.67 / $184.54	Professional		$109.69	$180.67	$184.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $126.63 / $209.56	Professional		$88.63	$126.63	$209.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $133.00 / $211.09	Professional		$88.62	$133.00	$211.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $200.00	Professional		$1.20	$1.20	$200.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Professional		$1.20	$1.20	$1.20
United Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $139.32 / $243.82	Professional		$103.80	$139.32	$243.82