Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $2,031.91 / $4,925.99	Facility		$119.48	$2,031.91	$4,925.99
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $690.32 / $2,027.86 / $4,713.99	Facility	25	$690.32	$2,027.86	$4,713.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $154.41 / $174.86 / $548.00	Professional	25	$154.41	$174.86	$548.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $166.68 / $416.70 / $662.82	Professional	25	$166.68	$416.70	$662.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,709.00 / $3,709.00 / $4,572.00	Facility		$3,709.00	$3,709.00	$4,572.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,977.00 / $4,850.00 / $5,391.00	Facility		$3,977.00	$4,850.00	$5,391.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $185.56 / $308.70	Professional		$1.85	$185.56	$308.70
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $901.99 / $901.99 / $901.99	Professional	25	$901.99	$901.99	$901.99