Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.00 / $1,706.00 / $4,730.00	Facility		$1,496.00	$1,706.00	$4,730.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $635.97 / $635.97 / $756.81	Facility	54	$635.97	$635.97	$756.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.08 / $847.96 / $1,335.70	Professional		$599.08	$847.96	$1,335.70
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.44 / $135.51 / $159.32	Professional	55	$95.44	$135.51	$159.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $782.54 / $782.54 / $2,207.73	Professional		$782.54	$782.54	$2,207.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.56 / $814.38 / $1,079.06	Professional		$676.56	$814.38	$1,079.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,203.55 / $2,203.55 / $2,203.55	Facility		$2,203.55	$2,203.55	$2,203.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.63 / $858.68 / $1,325.35	Professional		$591.63	$858.68	$1,325.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $936.55 / $2,561.73	Professional		$15.12	$936.55	$2,561.73
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,445.97 / $4,445.97 / $4,445.97	Facility		$4,445.97	$4,445.97	$4,445.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $782.54 / $3,451.92	Professional		$7.56	$782.54	$3,451.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.37 / $782.13 / $1,399.23	Professional		$629.37	$782.13	$1,399.23