Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.01 / $123.60 / $164.80	Facility		$87.01	$123.60	$164.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $109.00 / $339.74	Professional		$54.72	$109.00	$339.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $90.91 / $171.51	Professional		$66.91	$90.91	$171.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $99.35 / $144.91	Professional		$60.91	$99.35	$144.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $112.15 / $178.25	Professional		$80.69	$112.15	$178.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $84.46 / $128.52	Professional		$0.63	$84.46	$128.52
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $404.66 / $404.66 / $404.66	Professional	25	$404.66	$404.66	$404.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $73.44 / $110.16	Professional		$0.63	$73.44	$110.16
United Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $109.87 / $190.87	Professional		$77.76	$109.87	$190.87