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 $1,281.16 / $1,406.21 / $2,471.48	Professional		$1,281.16	$1,406.21	$2,471.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,131.14 / $1,381.54 / $2,199.83	Professional		$1,131.14	$1,381.54	$2,199.83
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 $1,144.60 / $1,531.72 / $1,981.56	Professional		$1,144.60	$1,531.72	$1,981.56
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 $1,251.41 / $1,513.32 / $3,498.00	Professional		$1,251.41	$1,513.32	$3,498.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $1,704.02 / $2,716.00	Professional		$49.20	$1,704.02	$2,716.00
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 $24.60 / $1,131.14 / $3,451.92	Professional		$24.60	$1,131.14	$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 $1,185.45 / $1,499.33 / $2,244.67	Professional		$1,185.45	$1,499.33	$2,244.67