Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,599.00 / $8,169.64	Facility		$1,375.00	$2,599.00	$8,169.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,829.67 / $5,829.67 / $5,829.67	Facility	50	$5,829.67	$5,829.67	$5,829.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.86 / $509.26 / $1,818.86	Professional		$393.86	$509.26	$1,818.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $559.85 / $559.85 / $559.85	Professional		$559.85	$559.85	$559.85
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 $465.51 / $628.86 / $935.01	Professional		$465.51	$628.86	$935.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.26 / $1,618.26 / $1,618.26	Facility		$1,618.26	$1,618.26	$1,618.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.18 / $564.52 / $890.98	Professional		$378.18	$564.52	$890.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $363.56 / $700.56 / $1,674.04	Professional		$363.56	$700.56	$1,674.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.04 / $4,232.04 / $4,232.04	Facility		$1,674.04	$4,232.04	$4,232.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $443.39 / $447.88 / $938.91	Professional		$443.39	$447.88	$938.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.19 / $625.95 / $979.03	Professional		$424.19	$625.95	$979.03