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 $107.12 / $1,470.67 / $1,978.62	Professional		$107.12	$1,470.67	$1,978.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,098.10 / $1,098.10 / $1,698.93	Professional		$1,098.10	$1,098.10	$1,698.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $1,355.02 / $2,206.13	Professional		$110.36	$1,355.02	$2,206.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,812.26 / $2,132.08 / $2,368.98	Professional	50	$1,812.26	$2,132.08	$2,368.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $1,298.44 / $2,121.15	Professional		$104.04	$1,298.44	$2,121.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $1,119.53 / $2,032.07	Professional		$92.59	$1,119.53	$2,032.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.45 / $2,021.63 / $2,021.63	Facility		$1,178.45	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $154.32 / $1,767.68	Professional		$102.88	$154.32	$1,767.68
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.56 / $1,925.27 / $2,836.50	Professional		$1,245.56	$1,925.27	$2,836.50