Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.56 / $112.26 / $838.39	Facility		$100.56	$112.26	$838.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $106.07 / $371.94	Professional		$89.98	$106.07	$371.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.70 / $219.19 / $673.51	Professional	25	$105.70	$219.19	$673.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $122.30 / $379.07	Professional		$86.10	$122.30	$379.07
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $81.03 / $81.03 / $391.24	Professional	25	$81.03	$81.03	$391.24
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
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.21 / $141.82 / $210.04	Professional		$101.21	$141.82	$210.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,237.00 / $5,231.00 / $5,257.00	Facility		$4,237.00	$5,231.00	$5,257.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $136.94 / $214.43	Professional		$97.17	$136.94	$214.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $130.63 / $202.55	Professional		$1.05	$130.63	$202.55
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $615.86 / $615.86 / $615.86	Professional	25	$615.86	$615.86	$615.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $148.41 / $199.07	Professional		$1.05	$148.41	$199.07
United Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $131.09 / $219.87	Professional		$95.34	$131.09	$219.87
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $85.00 / $234.81	Professional	25	$80.00	$85.00	$234.81