Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $19.57 / $44.50	Facility		$17.37	$19.57	$44.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $42.72 / $116.00	Professional		$17.01	$42.72	$116.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $43.24 / $46.82	Professional		$37.50	$43.24	$46.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $45.39	Professional		$18.14	$18.14	$45.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $39.88 / $41.90	Professional		$30.69	$39.88	$41.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $36.03 / $72.62	Professional		$0.22	$36.03	$72.62
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $27.07	Facility		$27.07	$27.07	$27.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $23.30 / $68.94	Professional		$0.14	$23.30	$68.94
United Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $46.64 / $76.42	Professional		$37.63	$46.64	$76.42