Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.02 / $134.72 / $168.64	Facility		$125.02	$134.72	$168.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $137.47 / $264.83	Professional		$105.15	$137.47	$264.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $261.39 / $261.39 / $404.00	Professional	25	$261.39	$261.39	$404.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $158.22 / $158.22 / $158.22	Professional	25	$158.22	$158.22	$158.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.83 / $160.28 / $284.00	Professional		$123.83	$160.28	$284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $147.90 / $147.90	Professional		$104.84	$147.90	$147.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $163.15 / $274.64	Professional		$1.23	$163.15	$274.64
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 $0.77 / $159.94 / $260.73	Professional		$0.77	$159.94	$260.73
United Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $160.80 / $294.20	Professional		$99.46	$160.80	$294.20