Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $107.00 / $494.40	Facility		$62.41	$107.00	$494.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $224.40 / $266.00 / $1,452.30	Facility	25	$224.40	$266.00	$1,452.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $85.85 / $202.92	Professional		$50.23	$85.85	$202.92
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $43.51 / $93.88 / $206.42	Professional	25	$43.51	$93.88	$206.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.64 / $262.68 / $271.76	Professional	50	$254.64	$262.68	$271.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $90.40 / $137.76	Professional		$64.66	$90.40	$137.76
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $75.18 / $88.45 / $130.91	Professional	25	$75.18	$88.45	$130.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $76.72 / $138.08	Professional		$47.38	$76.72	$138.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $118.05 / $190.00	Facility		$105.00	$118.05	$190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $76.68 / $135.80	Professional		$45.95	$76.68	$135.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $77.30 / $144.94	Professional		$28.08	$77.30	$144.94
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $211.19 / $211.19 / $211.19	Professional	25	$211.19	$211.19	$211.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $85.44 / $142.11	Professional		$0.45	$85.44	$142.11
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $78.66 / $143.47	Professional		$59.51	$78.66	$143.47