Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $68.11 / $224.40	Facility		$45.16	$68.11	$224.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $70.39 / $179.99	Professional		$41.59	$70.39	$179.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $59.39 / $87.99 / $251.61	Professional	25	$59.39	$87.99	$251.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $69.52 / $85.75	Professional		$59.09	$69.52	$85.75
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $62.50 / $76.47 / $102.89	Professional	25	$62.50	$76.47	$102.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $71.50 / $110.26	Professional		$45.54	$71.50	$110.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.71 / $105.00 / $190.00	Facility		$94.71	$105.00	$190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.39 / $71.81 / $120.50	Professional		$46.39	$71.81	$120.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $70.00 / $118.18	Professional		$26.46	$70.00	$118.18
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $279.31 / $279.31 / $279.31	Professional	25	$279.31	$279.31	$279.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $61.05 / $112.20	Professional		$0.48	$61.05	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $77.04 / $134.82	Professional		$61.03	$77.04	$134.82