Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.50 / $2,173.00 / $4,841.00	Facility		$909.50	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.71 / $904.40 / $1,383.09	Professional		$747.71	$904.40	$1,383.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,072.29 / $1,072.29 / $1,072.29	Professional		$1,072.29	$1,072.29	$1,072.29
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 $701.18 / $903.95 / $1,461.13	Professional		$701.18	$903.95	$1,461.13
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 $728.39 / $958.20 / $1,486.93	Professional		$728.39	$958.20	$1,486.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $720.41 / $1,093.66 / $1,501.30	Professional		$720.41	$1,093.66	$1,501.30
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 $720.41 / $970.87 / $1,491.36	Professional		$720.41	$970.87	$1,491.36
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 $804.24 / $1,028.55 / $1,795.51	Professional		$804.24	$1,028.55	$1,795.51