Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.51 / $2,556.00 / $5,923.00	Facility		$945.51	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.08 / $945.38 / $1,329.54	Professional		$742.08	$945.38	$1,329.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,069.84 / $1,069.84 / $1,069.84	Professional		$1,069.84	$1,069.84	$1,069.84
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 $691.65 / $900.16 / $1,430.40	Professional		$691.65	$900.16	$1,430.40
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 $707.90 / $950.14 / $1,517.89	Professional		$707.90	$950.14	$1,517.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $691.61 / $1,089.94 / $1,496.18	Professional		$691.61	$1,089.94	$1,496.18
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 $691.61 / $968.73 / $1,486.28	Professional		$691.61	$968.73	$1,486.28
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 $922.89 / $1,040.80 / $1,786.69	Professional		$922.89	$1,040.80	$1,786.69