Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,127.00 / $3,929.00 / $7,802.00	Facility		$2,127.00	$3,929.00	$7,802.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $688.70 / $688.70 / $819.56	Facility	54	$688.70	$688.70	$819.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.41 / $918.27 / $1,410.16	Professional		$738.41	$918.27	$1,410.16
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $117.40 / $149.12 / $170.81	Professional	55	$117.40	$149.12	$170.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $859.56 / $859.56 / $1,048.89	Professional		$859.56	$859.56	$1,048.89
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 $863.27 / $971.18 / $1,164.59	Professional		$863.27	$971.18	$1,164.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $1,277.64 / $1,277.64	Facility		$1,277.64	$1,277.64	$1,277.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.17 / $1,008.86 / $1,652.88	Professional		$695.17	$1,008.86	$1,652.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $1,072.50 / $1,540.00	Professional		$26.40	$1,072.50	$1,540.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,520.62 / $2,520.62 / $2,520.62	Facility		$2,520.62	$2,520.62	$2,520.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $859.56 / $1,966.85	Professional		$13.20	$859.56	$1,966.85
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 $760.76 / $923.05 / $1,589.69	Professional		$760.76	$923.05	$1,589.69