Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,729.50 / $3,459.00 / $7,674.00	Facility		$1,729.50	$3,459.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.58 / $1,294.28 / $2,441.27	Professional		$1,166.58	$1,294.28	$2,441.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,086.26 / $1,326.82 / $2,112.69	Professional		$1,086.26	$1,326.82	$2,112.69
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 $1,099.66 / $1,471.57 / $1,867.00	Professional		$1,099.66	$1,471.57	$1,867.00
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 $957.11 / $1,290.63 / $2,090.11	Professional		$957.11	$1,290.63	$2,090.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $1,583.54 / $2,561.00	Professional		$25.20	$1,583.54	$2,561.00
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 $12.60 / $1,086.26 / $3,451.92	Professional		$12.60	$1,086.26	$3,451.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.56 / $1,404.81 / $2,155.87	Professional		$1,108.56	$1,404.81	$2,155.87