Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $91.20	Professional		$57.54	$69.18	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $69.18	Professional		$61.66	$63.10	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $147.91	Professional		$64.57	$72.44	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $72.44 / $107.15	Professional		$0.56	$72.44	$107.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $95.50	Professional		$0.56	$0.56	$95.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $83.18	Professional		$63.10	$63.10	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $128.82	Professional		$61.66	$85.11	$128.82