Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $3,042.00 / $6,102.00	Facility		$2,150.00	$3,042.00	$6,102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.48 / $889.13 / $1,418.56	Professional		$741.48	$889.13	$1,418.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $520.54 / $520.54 / $853.41	Professional		$520.54	$520.54	$853.41
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 $821.76 / $873.04 / $1,183.35	Professional		$821.76	$873.04	$1,183.35
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 $693.93 / $1,047.61 / $2,649.00	Professional		$693.93	$1,047.61	$2,649.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $1,135.57 / $2,561.73	Professional		$46.20	$1,135.57	$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 $23.10 / $853.41 / $3,451.92	Professional		$23.10	$853.41	$3,451.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $3,472.00 / $10,407.00	Facility		$2,042.00	$3,472.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.60 / $941.28 / $1,577.28	Professional		$786.60	$941.28	$1,577.28