Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $26.92	Facility		$22.91	$22.91	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $104.71	Professional		$20.89	$28.18	$104.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	25	$138.04	$138.04	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $47.86	Professional		$20.42	$30.20	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $52.48	Professional		$23.99	$32.36	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $56.23	Professional		$26.30	$35.48	$56.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $44.67	Professional		$24.55	$32.36	$44.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $45.71	Professional		$33.11	$45.71	$45.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $33.88	Professional		$22.39	$30.20	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $54.95	Professional		$24.55	$33.11	$54.95