Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,167.00 / $4,396.00 / $22,351.00	Facility		$3,167.00	$4,396.00	$22,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,420.51 / $5,786.00	Professional		$1,291.35	$1,420.51	$5,786.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $299.92 / $786.90 / $946.33	Professional	AS	$299.92	$786.90	$946.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,089.41 / $2,089.41 / $2,089.41	Professional		$2,089.41	$2,089.41	$2,089.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,347.00 / $15,901.00 / $21,115.00	Facility		$12,347.00	$15,901.00	$21,115.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,623.42 / $1,726.90 / $2,433.16	Professional		$1,623.42	$1,726.90	$2,433.16
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $212.06 / $234.34 / $267.89	Professional	AS	$212.06	$234.34	$267.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,121.00 / $19,902.00 / $23,179.00	Facility		$16,121.00	$19,902.00	$23,179.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.94 / $1,904.00 / $2,770.81	Professional		$1,253.94	$1,904.00	$2,770.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $1,658.29 / $15,979.22	Professional		$28.00	$1,658.29	$15,979.22
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $20,324.32 / $20,324.32 / $20,324.32	Facility		$20,324.32	$20,324.32	$20,324.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $1,392.94 / $21,789.84	Professional		$21.00	$1,392.94	$21,789.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,163.00 / $14,268.00 / $30,420.00	Facility		$3,163.00	$14,268.00	$30,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,297.66 / $1,734.82 / $2,644.74	Professional		$1,297.66	$1,734.82	$2,644.74