Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.33 / $2,556.00 / $5,923.00	Facility		$1,216.33	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.13 / $1,228.03 / $1,996.75	Professional		$308.13	$1,228.03	$1,996.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $915.12 / $915.12 / $915.12	Professional		$915.12	$915.12	$915.12
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 $327.41 / $1,111.32 / $2,590.39	Professional		$327.41	$1,111.32	$2,590.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,527.31 / $1,796.83 / $1,996.48	Professional	50	$1,527.31	$1,796.83	$1,996.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,671.54 / $1,671.54 / $1,671.54	Facility		$1,671.54	$1,671.54	$1,671.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $1,545.77 / $2,660.28	Professional		$304.08	$1,545.77	$2,660.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $1,208.93 / $2,204.10	Professional		$228.11	$1,208.93	$2,204.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.46 / $3,478.55 / $3,478.55	Facility		$1,695.46	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $360.18 / $1,576.86	Professional		$240.12	$360.18	$1,576.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,441.00 / $3,000.00 / $9,042.00	Facility		$1,441.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.49 / $2,102.23 / $2,647.24	Professional		$1,401.49	$2,102.23	$2,647.24