Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.44 / $2,472.00 / $5,923.00	Facility		$1,120.44	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $1,109.77 / $1,655.15	Professional		$307.49	$1,109.77	$1,655.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $843.60 / $843.60 / $907.10	Professional		$843.60	$843.60	$907.10
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 $326.61 / $1,013.43 / $2,086.87	Professional		$326.61	$1,013.43	$2,086.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,391.80 / $1,637.41 / $1,819.35	Professional	50	$1,391.80	$1,637.41	$1,819.35
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 $302.45 / $1,222.06 / $2,348.75	Professional		$302.45	$1,222.06	$2,348.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $975.34 / $2,119.33	Professional		$190.00	$975.34	$2,119.33
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 $240.79 / $361.19 / $1,463.01	Professional		$240.79	$361.19	$1,463.01
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 $1,089.35 / $1,725.47 / $2,245.88	Professional		$1,089.35	$1,725.47	$2,245.88