Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $116.56 / $156.78	Professional		$60.29	$116.56	$156.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $31.36 / $138.03 / $185.00	Professional	25	$31.36	$138.03	$185.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $120.77	Professional		$112.32	$112.32	$120.77
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $120.77 / $120.77 / $148.13	Professional	25	$120.77	$120.77	$148.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $100.34 / $149.58	Professional		$66.73	$100.34	$149.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $99.36 / $156.65	Professional		$60.31	$99.36	$156.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $103.43 / $200.83	Professional		$0.73	$103.43	$200.83
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $119.68 / $198.80	Professional		$101.19	$119.68	$198.80