Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $3,459.00 / $6,880.00	Facility		$1,550.00	$3,459.00	$6,880.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $363.58 / $432.66 / $616.42	Facility	54	$363.58	$432.66	$616.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $570.89 / $1,136.57	Professional		$387.37	$570.89	$1,136.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.07 / $459.44 / $1,081.56	Professional		$301.07	$459.44	$1,081.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.84 / $557.22 / $700.89	Professional		$426.84	$557.22	$700.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.51 / $1,079.51 / $1,079.51	Facility		$1,079.51	$1,079.51	$1,079.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.25 / $613.04 / $911.80	Professional		$394.25	$613.04	$911.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $369.72 / $711.10 / $1,224.11	Professional		$369.72	$711.10	$1,224.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $410.80 / $616.20 / $1,003.38	Professional		$410.80	$616.20	$1,003.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,138.00	Facility		$1,282.00	$2,947.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.14 / $663.13 / $1,167.47	Professional		$510.14	$663.13	$1,167.47