Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,659.59 / $2,951.21	Facility		$870.96	$1,659.59	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $4,073.80	Professional		$1,202.26	$1,380.38	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,288.25	Professional		$831.76	$1,148.15	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $3,890.45	Facility		$1,288.25	$1,288.25	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,445.44	Professional		$1,202.26	$1,258.93	$1,445.44