Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.61 / $70.61 / $77.39	Facility		$70.61	$70.61	$77.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $76.95 / $179.47	Professional		$36.26	$76.95	$179.47
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.52 / $86.59 / $266.29	Professional	25	$69.52	$86.59	$266.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $138.37 / $156.78	Professional		$71.95	$138.37	$156.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $61.16 / $71.95 / $77.51	Professional	25	$61.16	$71.95	$77.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $99.59 / $148.77	Professional		$67.56	$99.59	$148.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.04 / $99.53 / $156.51	Professional		$74.04	$99.53	$156.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $87.65 / $136.46	Professional		$0.40	$87.65	$136.46
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 $0.40 / $79.06 / $129.56	Professional		$0.40	$79.06	$129.56
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $94.71 / $151.84	Professional		$71.23	$94.71	$151.84