Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $13,347.00	Facility		$1,862.00	$3,509.00	$13,347.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.54 / $828.62 / $2,987.58	Professional		$557.54	$828.62	$2,987.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $470.32 / $470.32 / $669.81	Professional		$470.32	$470.32	$669.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,126.00 / $12,719.00 / $15,372.00	Facility		$5,126.00	$12,719.00	$15,372.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.65 / $741.13 / $1,002.70	Professional		$662.65	$741.13	$1,002.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,710.30 / $4,710.30 / $4,710.30	Facility		$4,710.30	$4,710.30	$4,710.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.67 / $1,001.81 / $1,624.45	Professional		$612.67	$1,001.81	$1,624.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $930.84 / $4,712.99	Professional		$11.03	$930.84	$4,712.99
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $836.09 / $7,441.56	Professional		$7.50	$836.09	$7,441.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.28 / $1,077.43 / $1,659.33	Professional		$800.28	$1,077.43	$1,659.33