Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $2,556.00 / $6,956.34	Facility		$2,150.00	$2,556.00	$6,956.34
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.22 / $73.93 / $225.38	Facility	53	$73.22	$73.93	$225.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.66 / $1,114.82 / $4,945.03	Professional		$324.66	$1,114.82	$4,945.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.69 / $291.69 / $683.44	Professional		$291.69	$291.69	$683.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,886.00 / $6,164.00 / $9,964.00	Facility		$4,886.00	$6,164.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.07 / $1,058.80 / $1,699.23	Professional		$395.07	$1,058.80	$1,699.23
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 $301.33 / $1,021.29 / $1,782.27	Professional		$301.33	$1,021.29	$1,782.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $958.45 / $2,060.17	Professional		$190.00	$958.45	$2,060.17
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 $294.44 / $441.66 / $1,437.68	Professional		$294.44	$441.66	$1,437.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,441.00 / $3,644.00 / $9,500.00	Facility		$1,441.00	$3,644.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.96 / $1,446.27 / $2,081.48	Professional		$1,101.96	$1,446.27	$2,081.48