Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $1,074.11 / $1,344.12	Professional		$765.90	$1,074.11	$1,344.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $1,241.33	Professional	50	$1,241.33	$1,241.33	$1,241.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $983.10 / $983.10 / $1,672.98	Professional		$983.10	$983.10	$1,672.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.70 / $1,007.82 / $1,366.43	Professional		$842.70	$1,007.82	$1,366.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,284.98 / $1,511.74 / $1,679.71	Professional	50	$1,284.98	$1,511.74	$1,679.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,669.80 / $1,669.80 / $1,669.80	Facility		$1,669.80	$1,669.80	$1,669.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.27 / $1,079.20 / $1,743.59	Professional		$749.27	$1,079.20	$1,743.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $1,179.18 / $2,265.58	Professional		$20.16	$1,179.18	$2,265.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,167.63 / $4,167.63 / $4,167.63	Facility		$4,167.63	$4,167.63	$4,167.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $983.10 / $2,718.69	Professional		$10.08	$983.10	$2,718.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.28 / $975.45 / $1,727.95	Professional		$781.28	$975.45	$1,727.95