Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $28.84 / $40.36	Facility		$25.90	$28.84	$40.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $37.07 / $67.00	Professional		$23.91	$37.07	$67.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.27 / $144.00 / $144.00	Professional	25	$41.27	$144.00	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.41 / $15.92 / $23.00	Professional	52	$11.41	$15.92	$23.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $37.54 / $37.54	Professional		$31.91	$37.54	$37.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $35.18 / $35.18 / $35.18	Professional	25	$35.18	$35.18	$35.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $39.63 / $64.95	Professional		$28.94	$39.63	$64.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $40.29	Professional		$34.82	$34.82	$40.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $37.40 / $62.22	Professional		$0.44	$37.40	$62.22
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 $0.28 / $36.50 / $59.07	Professional		$0.28	$36.50	$59.07
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $41.81 / $73.45	Professional		$32.47	$41.81	$73.45