Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,472.00 / $4,730.00	Facility		$1,150.00	$2,472.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.96 / $981.78 / $1,785.22	Professional		$767.96	$981.78	$1,785.22
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $61.79 / $640.75 / $920.60	Professional	AS	$61.79	$640.75	$920.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,155.71 / $1,155.71 / $1,155.71	Professional		$1,155.71	$1,155.71	$1,155.71
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $155.69 / $155.69 / $155.69	Professional	AS	$155.69	$155.69	$155.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.21 / $965.41 / $1,544.65	Professional		$743.21	$965.41	$1,544.65
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $136.16 / $158.76 / $333.68	Professional	AS	$136.16	$158.76	$333.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.40 / $2,059.40 / $2,059.40	Facility		$2,059.40	$2,059.40	$2,059.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.36 / $1,025.21 / $1,607.70	Professional		$757.36	$1,025.21	$1,607.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $719.27 / $1,207.15 / $2,229.21	Professional		$719.27	$1,207.15	$2,229.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,046.03 / $4,046.03 / $4,046.03	Facility		$4,046.03	$4,046.03	$4,046.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $757.13 / $1,045.72 / $1,663.79	Professional		$757.13	$1,045.72	$1,663.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.12 / $1,172.68 / $2,777.72	Professional		$981.12	$1,172.68	$2,777.72