Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,513.50 / $5,923.00	Facility		$1,375.00	$2,513.50	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.22 / $752.27 / $2,644.98	Professional		$690.22	$752.27	$2,644.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $700.75 / $700.75 / $700.75	Professional		$700.75	$700.75	$700.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.00 / $8,455.00 / $14,510.00	Facility		$6,093.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.82 / $853.39 / $1,241.30	Professional		$768.82	$853.39	$1,241.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,299.27 / $5,299.27 / $5,299.27	Facility		$5,299.27	$5,299.27	$5,299.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.75 / $935.85 / $1,363.36	Professional		$625.75	$935.85	$1,363.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $838.78 / $6,086.36	Professional		$15.44	$838.78	$6,086.36
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 $11.58 / $737.63 / $8,299.58	Professional		$11.58	$737.63	$8,299.58
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 $664.75 / $877.50 / $1,353.56	Professional		$664.75	$877.50	$1,353.56