Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $31.25 / $59.25	Facility		$16.88	$31.25	$59.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $23.17 / $83.88	Professional		$13.14	$23.17	$83.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $22.78 / $38.19	Professional	25	$20.07	$22.78	$38.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $13.62 / $22.19	Professional		$12.78	$13.62	$22.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $18.07 / $25.61	Professional		$13.75	$18.07	$25.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $20.88 / $33.32	Professional		$15.04	$20.88	$33.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $17.87 / $62.40	Professional		$0.39	$17.87	$62.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $15.26 / $22.89	Professional		$0.39	$15.26	$22.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $23.04 / $36.38	Professional		$15.03	$23.04	$36.38