Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $3,042.00 / $4,730.00	Facility		$2,150.00	$3,042.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.62 / $603.90 / $3,151.29	Professional		$548.62	$603.90	$3,151.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $887.54 / $887.54 / $887.54	Professional		$887.54	$887.54	$887.54
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 $670.12 / $719.71 / $991.69	Professional		$670.12	$719.71	$991.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.62 / $763.71 / $1,155.00	Professional		$557.62	$763.71	$1,155.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $692.96 / $1,889.33	Professional		$9.60	$692.96	$1,889.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $591.69 / $2,576.36	Professional		$7.20	$591.69	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $705.55 / $1,085.49	Professional		$534.00	$705.55	$1,085.49