Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,841.00	Facility		$950.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.79 / $969.75 / $1,662.44	Professional		$200.79	$969.75	$1,662.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.24 / $172.24 / $172.24	Professional		$172.24	$172.24	$172.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,474.00 / $4,589.00 / $6,006.00	Facility		$3,474.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $878.41 / $1,771.84	Professional		$215.38	$878.41	$1,771.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,773.05 / $2,314.71 / $2,475.27	Facility		$1,773.05	$2,314.71	$2,475.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.67 / $1,014.98 / $1,982.54	Professional		$210.67	$1,014.98	$1,982.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $891.65 / $1,980.38	Professional		$155.03	$891.65	$1,980.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,821.31 / $3,900.25 / $3,900.25	Facility		$1,821.31	$3,900.25	$3,900.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $172.26 / $258.39 / $1,407.87	Professional		$172.26	$258.39	$1,407.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,097.00 / $3,000.00 / $9,042.00	Facility		$1,097.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,125.63 / $1,637.28 / $2,422.83	Professional		$1,125.63	$1,637.28	$2,422.83