Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $114.82	Facility		$89.13	$89.13	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $549.54	Professional		$104.71	$169.82	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $186.21	Professional		$120.23	$144.54	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $257.04	Professional		$104.71	$151.36	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $257.04	Professional		$104.71	$154.88	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.45	Professional		$1.35	$1.35	$2.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $194.98	Professional		$100.00	$151.36	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $251.19	Professional		$87.10	$144.54	$251.19