Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.82 / $131.53 / $182.75	Facility		$125.82	$131.53	$182.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $131.53 / $214.51	Professional		$78.18	$131.53	$214.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $134.60 / $140.65 / $400.00	Professional	25	$134.60	$140.65	$400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $118.14 / $125.82	Professional		$106.95	$118.14	$125.82
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $106.95 / $125.82 / $125.82	Professional	25	$106.95	$125.82	$125.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $132.10 / $221.98	Professional		$108.87	$132.10	$221.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $137.29 / $237.51	Professional		$0.80	$137.29	$237.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $137.29 / $205.94	Professional		$0.80	$137.29	$205.94
United Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $131.19 / $213.89	Professional		$98.27	$131.19	$213.89