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 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.91 / $1,335.89 / $2,191.59	Professional		$277.91	$1,335.89	$2,191.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
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 $301.58 / $1,148.97 / $2,242.44	Professional		$301.58	$1,148.97	$2,242.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.01 / $1,240.85 / $2,356.09	Professional		$271.01	$1,240.85	$2,356.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $367.66 / $1,931.19	Professional		$164.18	$367.66	$1,931.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.55 / $3,478.55 / $3,478.55	Facility		$3,478.55	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $328.35 / $1,833.41	Professional		$4.08	$328.35	$1,833.41
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 $1,316.49 / $1,888.91 / $2,750.63	Professional		$1,316.49	$1,888.91	$2,750.63