Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.36 / $2,581.63 / $2,581.63	Facility		$2,517.36	$2,581.63	$2,581.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,519.42 / $2,643.84 / $4,694.39	Professional		$2,519.42	$2,643.84	$4,694.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,814.00 / $2,814.00 / $2,814.00	Professional		$2,814.00	$2,814.00	$2,814.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,388.02 / $2,721.60 / $8,268.48	Facility		$1,388.02	$2,721.60	$8,268.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,517.36 / $2,643.84 / $2,643.84	Professional		$2,517.36	$2,643.84	$2,643.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,920.51 / $2,643.84 / $2,643.84	Facility		$1,920.51	$2,643.84	$2,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3,110.40 / $3,110.40 / $3,110.40	Professional		$3,110.40	$3,110.40	$3,110.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,534.01 / $1,534.01 / $1,534.01	Facility		$1,534.01	$1,534.01	$1,534.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Professional		$2,592.00	$2,592.00	$2,592.00