Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.85 / $131.22 / $188.51	Facility		$123.85	$131.22	$188.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $158.81 / $344.02	Professional		$113.43	$158.81	$344.02
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $149.58 / $300.00 / $1,162.00	Professional	25	$149.58	$300.00	$1,162.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $200.34 / $378.64	Professional		$170.29	$200.34	$378.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.54 / $157.37 / $237.03	Professional		$118.54	$157.37	$237.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $164.99 / $265.23	Professional		$111.42	$164.99	$265.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $153.15 / $263.00	Professional		$1.50	$153.15	$263.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.41 / $142.41 / $142.41	Facility		$142.41	$142.41	$142.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $133.38 / $200.34	Professional		$121.21	$133.38	$200.34
United Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $189.43 / $353.61	Professional		$143.97	$189.43	$353.61