Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.22 / $140.79 / $310.95	Facility		$124.22	$140.79	$310.95
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $318.13 / $318.13 / $318.13	Facility	25	$318.13	$318.13	$318.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $161.31 / $457.25	Professional		$95.64	$161.31	$457.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.96 / $207.08 / $491.00	Professional	25	$117.96	$207.08	$491.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $189.96 / $380.41	Professional		$138.15	$189.96	$380.41
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $148.38 / $174.58 / $300.07	Professional	25	$148.38	$174.58	$300.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $147.04 / $283.85	Professional		$95.00	$147.04	$283.85
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 $100.19 / $157.44 / $275.41	Professional		$100.19	$157.44	$275.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $161.77 / $286.97	Professional		$60.92	$161.77	$286.97
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $562.72 / $562.72 / $562.72	Professional	25	$562.72	$562.72	$562.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $186.66 / $286.97	Professional		$0.98	$186.66	$286.97
United Facility/Professional Professional Modifier Low / Median / High Price $119.44 / $157.16 / $283.58	Professional		$119.44	$157.16	$283.58