Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $66.48 / $67.09	Facility		$66.48	$66.48	$67.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $66.59 / $110.62	Professional		$55.66	$66.59	$110.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $209.60 / $209.60 / $245.55	Professional	25	$209.60	$209.60	$245.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $85.63 / $126.08	Professional		$73.36	$85.63	$126.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $86.28 / $129.27	Professional		$60.27	$86.28	$129.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $90.63 / $136.79	Professional		$68.39	$90.63	$136.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $81.56 / $122.73	Professional		$0.40	$81.56	$122.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $94.46 / $116.52	Professional		$0.40	$94.46	$116.52
United Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $82.07 / $132.93	Professional		$61.55	$82.07	$132.93