Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $4,473.00 / $7,802.00	Facility		$2,240.00	$4,473.00	$7,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.64 / $1,221.55 / $1,627.34	Professional		$1,097.64	$1,221.55	$1,627.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,202.83 / $1,202.83 / $1,915.29	Professional		$1,202.83	$1,202.83	$1,915.29
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 $946.71 / $1,278.93 / $1,734.74	Professional		$946.71	$1,278.93	$1,734.74
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 $865.99 / $1,297.81 / $3,276.00	Professional		$865.99	$1,297.81	$3,276.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $1,494.41 / $2,561.73	Professional		$44.88	$1,494.41	$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 $22.44 / $985.62 / $3,451.92	Professional		$22.44	$985.62	$3,451.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,820.00 / $10,407.00	Facility		$2,042.00	$4,820.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.96 / $1,316.66 / $1,951.10	Professional		$1,000.96	$1,316.66	$1,951.10