Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $159.63 / $168.64	Facility		$159.63	$159.63	$168.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $172.09 / $573.00	Professional		$136.37	$172.09	$573.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $115.53 / $260.77 / $260.77	Professional	25	$115.53	$260.77	$260.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $159.63 / $174.17	Professional		$135.69	$159.63	$174.17
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $157.90 / $236.25 / $236.25	Professional	25	$157.90	$236.25	$236.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.29 / $185.55 / $284.00	Professional		$139.29	$185.55	$284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $190.84 / $300.14	Professional		$1.20	$190.84	$300.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $173.49 / $260.24	Professional		$1.20	$173.49	$260.24
United Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $189.60 / $301.77	Professional		$141.43	$189.60	$301.77