Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.43 / $2,173.00 / $4,952.35	Facility		$1,868.43	$2,173.00	$4,952.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.10 / $31.47 / $98.52	Facility	53	$30.10	$31.47	$98.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $471.18 / $2,888.00	Professional		$150.51	$471.18	$2,888.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $427.06 / $427.06 / $427.06	Professional		$427.06	$427.06	$427.06
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 $182.31 / $502.53 / $889.10	Professional		$182.31	$502.53	$889.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $546.79 / $826.96	Professional		$148.94	$546.79	$826.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $453.19 / $834.82	Professional		$129.53	$453.19	$834.82
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $154.24 / $715.56	Professional		$136.35	$154.24	$715.56
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.90 / $805.46 / $1,179.10	Professional		$606.90	$805.46	$1,179.10