Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.84 / $755.84 / $872.12	Facility		$755.84	$755.84	$872.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.84 / $767.46 / $996.99	Professional		$755.84	$767.46	$996.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,881.31 / $1,881.31 / $1,881.31	Professional		$1,881.31	$1,881.31	$1,881.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,213.30 / $2,213.30 / $2,213.30	Facility		$2,213.30	$2,213.30	$2,213.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.95 / $1,124.88 / $2,213.30	Professional		$1,041.95	$1,124.88	$2,213.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,629.38	Facility		$1,037.25	$1,037.25	$1,629.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $1,124.28	Professional		$757.19	$1,037.25	$1,124.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.79 / $1,840.32 / $3,187.15	Professional		$1,230.79	$1,840.32	$3,187.15
United Facility/Professional Professional Modifier Low / Median / High Price $648.42 / $828.14 / $1,380.24	Professional		$648.42	$828.14	$1,380.24