Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $88.00 / $432.00	Facility		$18.18	$88.00	$432.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $76.76 / $76.76 / $76.76	Facility	25	$76.76	$76.76	$76.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $19.89 / $38.97	Professional		$7.55	$19.89	$38.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.89 / $26.70 / $67.00	Professional	25	$18.89	$26.70	$67.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $22.59 / $25.99	Professional		$8.36	$22.59	$25.99
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $19.96 / $22.59 / $22.66	Professional	25	$19.96	$22.59	$22.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $18.73 / $33.86	Professional		$8.85	$18.73	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $105.00 / $190.00	Facility		$30.10	$105.00	$190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $18.78 / $35.53	Professional		$8.86	$18.78	$35.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $20.00 / $38.46	Professional		$4.96	$20.00	$38.46
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $80.37 / $80.37 / $80.37	Professional	25	$80.37	$80.37	$80.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $11.45 / $37.50	Professional		$0.18	$11.45	$37.50
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $23.93 / $42.90	Professional		$18.22	$23.93	$42.90