Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.55 / $2,556.00 / $5,278.00	Facility		$732.55	$2,556.00	$5,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.22 / $718.40 / $1,265.70	Professional		$625.22	$718.40	$1,265.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $678.93 / $678.93 / $895.30	Professional		$678.93	$678.93	$895.30
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 $554.11 / $697.23 / $1,124.48	Professional		$554.11	$697.23	$1,124.48
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 $572.66 / $754.44 / $1,166.46	Professional		$572.66	$754.44	$1,166.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $567.76 / $860.42 / $1,296.30	Professional		$567.76	$860.42	$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 $567.76 / $746.08 / $1,149.05	Professional		$567.76	$746.08	$1,149.05
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 $635.10 / $788.40 / $1,379.70	Professional		$635.10	$788.40	$1,379.70