Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $3,459.00 / $5,132.00	Facility		$2,150.00	$3,459.00	$5,132.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,351.06 / $1,493.05 / $2,134.01	Professional		$1,351.06	$1,493.05	$2,134.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,542.68 / $1,542.68 / $1,816.89	Professional		$1,542.68	$1,542.68	$1,816.89
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 $1,279.44 / $1,712.16 / $2,149.10	Professional		$1,279.44	$1,712.16	$2,149.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,765.41 / $2,765.41 / $2,765.41	Facility		$2,765.41	$2,765.41	$2,765.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.54 / $1,483.06 / $2,431.91	Professional		$1,026.54	$1,483.06	$2,431.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $1,841.16 / $3,201.07	Professional		$26.40	$1,841.16	$3,201.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,702.41 / $5,702.41 / $5,702.41	Facility		$5,702.41	$5,702.41	$5,702.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $1,262.83 / $4,365.09	Professional		$13.20	$1,262.83	$4,365.09
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 $1,286.90 / $1,623.37 / $2,384.55	Professional		$1,286.90	$1,623.37	$2,384.55