Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.65 / $147.50 / $322.95	Facility		$124.65	$147.50	$322.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $173.53 / $460.54	Professional		$108.81	$173.53	$460.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $122.27 / $194.95 / $525.29	Professional	25	$122.27	$194.95	$525.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $162.13 / $306.44	Professional		$137.82	$162.13	$306.44
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $137.82 / $162.13 / $278.58	Professional	25	$137.82	$162.13	$278.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $168.50 / $269.20	Professional		$115.64	$168.50	$269.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $130.00 / $217.61	Facility		$105.00	$130.00	$217.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $168.48 / $266.94	Professional		$114.50	$168.48	$266.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $153.71 / $265.91	Professional		$55.25	$153.71	$265.91
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $636.29 / $636.29 / $636.29	Professional	25	$636.29	$636.29	$636.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $127.50 / $264.14	Professional		$1.00	$127.50	$264.14
United Facility/Professional Facility Modifier Low / Median / High Price $250.75 / $250.75 / $250.75	Facility		$250.75	$250.75	$250.75
United Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $171.31 / $300.77	Professional		$133.68	$171.31	$300.77