Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,466.84 / $10,232.93	Facility		$2,238.72	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $2,951.21	Professional		$1,230.27	$2,344.23	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,022.64 / $14,454.40	Facility		$7,413.10	$12,022.64	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $4,466.84	Professional		$2,089.30	$3,162.28	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,762.47 / $7,762.47	Professional		$4,897.79	$7,762.47	$7,762.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,905.46	Professional		$1,778.28	$1,778.28	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $9,120.11	Facility		$1,659.59	$3,162.28	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,000.00 / $2,818.38	Professional		$501.19	$1,000.00	$2,818.38