Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $125.89	Facility		$95.50	$95.50	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $524.81	Professional		$107.15	$151.36	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $186.21	Professional		$128.82	$154.88	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $275.42	Professional		$114.82	$165.96	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $275.42	Professional		$114.82	$165.96	$275.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $2.29	Professional		$1.45	$1.45	$2.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.45	Professional		$1.45	$1.45	$1.45
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $213.80	Professional		$107.15	$165.96	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $275.42	Professional		$95.50	$154.88	$275.42