Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $95.50	Facility		$72.44	$72.44	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $436.52	Professional		$83.18	$141.25	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $181.97	Professional		$97.72	$120.23	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $213.80	Professional		$89.13	$125.89	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $208.93	Professional		$87.10	$125.89	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.91	Professional		$1.05	$1.05	$1.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Professional		$1.05	$1.05	$1.05
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $162.18	Professional		$81.28	$125.89	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $208.93	Professional		$70.79	$117.49	$208.93