Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $11,042.70	Facility		$1,210.00	$2,173.00	$11,042.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,559.25 / $2,716.25 / $2,983.50	Facility	50	$1,559.25	$2,716.25	$2,983.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $1,398.80 / $2,513.67	Professional		$285.25	$1,398.80	$2,513.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,615.71 / $2,355.91 / $2,360.30	Professional	50	$1,615.71	$2,355.91	$2,360.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.50 / $314.50 / $314.50	Professional		$314.50	$314.50	$314.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $471.75 / $471.75 / $471.75	Professional	50	$471.75	$471.75	$471.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.34 / $1,445.45 / $2,660.96	Professional		$379.34	$1,445.45	$2,660.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $467.46 / $2,251.92 / $3,055.38	Professional	50	$467.46	$2,251.92	$3,055.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.36 / $1,333.17 / $2,745.47	Professional		$334.36	$1,333.17	$2,745.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $480.59 / $2,920.79	Professional		$190.00	$480.59	$2,920.79
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,974.27 / $5,974.27 / $5,974.27	Facility		$5,974.27	$5,974.27	$5,974.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $431.67 / $2,863.52	Professional		$3.90	$431.67	$2,863.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,578.63 / $2,088.94 / $3,102.84	Professional		$1,578.63	$2,088.94	$3,102.84