Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $616.60	Professional		$112.20	$144.54	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $154.88	Professional		$120.23	$128.82	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $288.40	Professional		$120.23	$177.83	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $269.15	Professional		$125.89	$169.82	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $131.83 / $190.55	Professional		$1.41	$131.83	$190.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $181.97	Professional		$1.41	$1.41	$181.97
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $223.87	Professional		$123.03	$123.03	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $263.03	Professional		$123.03	$158.49	$263.03