Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.90 / $4,730.00 / $7,802.00	Facility		$1,368.90	$4,730.00	$7,802.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $130.34 / $131.59 / $684.45	Facility	52	$130.34	$131.59	$684.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $1,110.34 / $1,693.57	Professional		$207.00	$1,110.34	$1,693.57
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $130.34 / $624.12 / $815.14	Professional	52	$130.34	$624.12	$815.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.54 / $207.54 / $207.54	Professional		$207.54	$207.54	$207.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,078.00 / $7,046.00 / $13,100.00	Facility		$5,078.00	$7,046.00	$13,100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.19 / $1,245.49 / $2,059.78	Professional		$271.19	$1,245.49	$2,059.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,766.75 / $2,766.75 / $2,766.75	Facility		$2,766.75	$2,766.75	$2,766.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.41 / $999.04 / $1,890.38	Professional		$199.41	$999.04	$1,890.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $185.49 / $1,079.61 / $2,847.85	Professional		$185.49	$1,079.61	$2,847.85
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,847.85 / $6,301.21 / $6,301.21	Facility		$2,847.85	$6,301.21	$6,301.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $206.10 / $309.14 / $1,782.60	Professional		$206.10	$309.14	$1,782.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,284.78 / $1,630.00 / $2,329.73	Professional		$1,284.78	$1,630.00	$2,329.73