Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,793.00 / $7,802.00	Facility		$2,150.00	$4,793.00	$7,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $1,647.53 / $6,894.82	Professional		$283.06	$1,647.53	$6,894.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.57 / $272.57 / $272.57	Professional		$272.57	$272.57	$272.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,556.00 / $9,098.00 / $15,073.00	Facility		$6,556.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.51 / $4,483.89 / $7,681.18	Professional		$370.51	$4,483.89	$7,681.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,734.72 / $7,734.72 / $7,734.72	Facility		$7,734.72	$7,734.72	$7,734.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $4,541.43 / $7,010.84	Professional		$270.20	$4,541.43	$7,010.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $4,564.95 / $8,409.12	Professional		$190.00	$4,564.95	$8,409.12
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $8,143.86 / $12,533.37 / $12,533.37	Facility		$8,143.86	$12,533.37	$12,533.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $271.85 / $407.78 / $7,207.82	Professional		$271.85	$407.78	$7,207.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,163.00 / $6,491.00 / $14,434.00	Facility		$3,163.00	$6,491.00	$14,434.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,267.89 / $6,785.38 / $9,721.54	Professional		$5,267.89	$6,785.38	$9,721.54