Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $79.43	Facility		$57.54	$57.54	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $363.08	Professional		$61.66	$104.71	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $117.49	Professional		$83.18	$100.00	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $173.78	Professional		$69.18	$100.00	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $173.78	Professional		$69.18	$102.33	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.89 / $1.45	Professional		$0.89	$0.89	$1.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.89 / $0.89	Professional		$0.89	$0.89	$0.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $131.83	Professional		$63.10	$102.33	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $173.78	Professional		$57.54	$95.50	$173.78