Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $114.82	Professional		$39.81	$79.43	$114.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $77.62 / $95.50 / $134.90	Professional	25	$77.62	$95.50	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Professional		$79.43	$85.11	$85.11
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	25	$177.83	$177.83	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $120.23	Professional		$43.65	$67.61	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $120.23	Professional		$43.65	$70.79	$120.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $91.20 / $144.54	Professional		$0.40	$91.20	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $114.82	Professional		$52.48	$85.11	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $117.49	Professional		$42.66	$70.79	$117.49