Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.25 / $1,881.00 / $4,396.00	Facility		$543.25	$1,881.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.08 / $710.28 / $1,238.69	Professional		$557.08	$710.28	$1,238.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $886.82 / $886.82 / $886.82	Professional		$886.82	$886.82	$886.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.95 / $674.93 / $1,091.40	Professional		$524.95	$674.93	$1,091.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.63 / $718.26 / $1,133.83	Professional		$540.63	$718.26	$1,133.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $540.37 / $837.57 / $1,296.30	Professional		$540.37	$837.57	$1,296.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.63 / $2,021.63 / $2,021.63	Facility		$2,021.63	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $540.37 / $739.02 / $1,142.55	Professional		$540.37	$739.02	$1,142.55
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.79 / $778.09 / $1,358.29	Professional		$631.79	$778.09	$1,358.29