Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.70 / $97.72	Facility		$43.65	$53.70	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $77.62	Professional		$30.20	$43.65	$77.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.66 / $54.95 / $67.61	Professional	25	$42.66	$54.95	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $70.79	Professional		$48.98	$58.88	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $51.29 / $64.57	Professional	25	$48.98	$51.29	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $93.33	Professional		$44.67	$60.26	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $74.13	Professional		$32.36	$47.86	$74.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $52.48 / $85.11	Professional		$0.40	$52.48	$85.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $64.57 / $97.72	Professional		$0.40	$64.57	$97.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $72.44	Professional		$45.71	$66.07	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $81.28	Professional		$30.90	$44.67	$81.28