Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $103.41 / $1,980.58	Facility		$77.23	$103.41	$1,980.58
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $2,180.80 / $2,180.80 / $2,180.80	Facility	25	$2,180.80	$2,180.80	$2,180.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $112.15 / $300.92	Professional		$66.34	$112.15	$300.92
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.28 / $123.96 / $318.79	Professional	25	$63.28	$123.96	$318.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $120.10 / $204.50	Professional		$108.20	$120.10	$204.50
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $91.97 / $108.20 / $160.13	Professional	25	$91.97	$108.20	$160.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $108.94 / $177.43	Professional		$76.06	$108.94	$177.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $130.00 / $190.00	Facility		$105.00	$130.00	$190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $110.32 / $174.98	Professional		$71.58	$110.32	$174.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $105.07 / $178.61	Professional		$42.67	$105.07	$178.61
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $429.19 / $429.19 / $429.19	Professional	25	$429.19	$429.19	$429.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $105.90 / $175.11	Professional		$0.70	$105.90	$175.11
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $109.61 / $185.95	Professional		$86.70	$109.61	$185.95