Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.17 / $54.64 / $97.02	Facility		$44.17	$54.64	$97.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $44.91 / $89.00	Professional		$29.26	$44.91	$89.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.71 / $55.52 / $67.55	Professional	25	$42.71	$55.52	$67.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $51.16 / $60.19	Professional		$51.16	$51.16	$60.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $59.29 / $81.93	Professional		$41.56	$59.29	$81.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $43.97 / $73.62	Professional		$25.78	$43.97	$73.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $49.88 / $78.92	Professional		$0.40	$49.88	$78.92
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $102.23 / $102.23	Facility		$102.23	$102.23	$102.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $47.57 / $65.06	Professional		$43.37	$47.57	$65.06
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $47.74 / $86.04	Professional		$37.44	$47.74	$86.04