Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,786.00 / $4,366.50 / $10,300.00	Facility		$2,786.00	$4,366.50	$10,300.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,281.50 / $4,366.50 / $12,474.08	Facility	50	$2,281.50	$4,366.50	$12,474.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.88 / $468.32 / $1,824.00	Professional		$361.88	$468.32	$1,824.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.01 / $572.75 / $572.75	Professional		$273.01	$572.75	$572.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $6,151.00 / $10,920.00	Facility		$4,169.00	$6,151.00	$10,920.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.43 / $509.26 / $809.37	Professional		$380.43	$509.26	$809.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,009.49 / $14,065.00 / $17,152.00	Facility		$3,009.49	$14,065.00	$17,152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.22 / $491.74 / $794.92	Professional		$355.22	$491.74	$794.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $498.31 / $3,706.69	Professional		$8.88	$498.31	$3,706.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,164.94 / $6,448.02 / $6,448.02	Facility		$3,164.94	$6,448.02	$6,448.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $419.60 / $4,747.41	Professional		$6.66	$419.60	$4,747.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,432.00 / $4,661.00 / $11,845.00	Facility		$1,432.00	$4,661.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.53 / $487.50 / $850.00	Professional		$369.53	$487.50	$850.00