Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $21.68	Facility		$19.37	$19.37	$21.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $25.01 / $44.08	Professional		$19.89	$25.01	$44.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.97 / $94.80 / $97.21	Professional	25	$26.97	$94.80	$97.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $26.32 / $57.35	Professional		$22.37	$26.32	$57.35
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $23.59 / $23.73 / $28.56	Professional	25	$23.59	$23.73	$28.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $28.54 / $49.21	Professional		$23.59	$28.54	$49.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $30.24 / $47.76	Professional		$21.82	$30.24	$47.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $28.85 / $45.58	Professional		$0.30	$28.85	$45.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $32.92 / $32.92	Facility		$32.92	$32.92	$32.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $26.32 / $43.28	Professional		$0.30	$26.32	$43.28
United Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $29.60 / $53.29	Professional		$22.89	$29.60	$53.29