Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.53 / $177.50 / $253.89	Facility		$167.53	$177.50	$253.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.01 / $218.26 / $454.54	Professional		$158.01	$218.26	$454.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $231.39 / $296.08 / $772.00	Professional	25	$231.39	$296.08	$772.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.97 / $230.75 / $513.08	Professional		$203.97	$230.75	$513.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $231.19 / $321.77	Professional		$160.91	$231.19	$321.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $229.36 / $373.83	Professional		$163.51	$229.36	$373.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $214.54 / $356.92	Professional		$2.10	$214.54	$356.92
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 $165.03 / $181.22 / $271.47	Professional		$165.03	$181.22	$271.47
United Facility/Professional Professional Modifier Low / Median / High Price $203.11 / $261.06 / $464.41	Professional		$203.11	$261.06	$464.41