Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,168.69 / $6,918.31	Facility		$2,951.21	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $4,365.16	Professional		$2,454.71	$3,715.35	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,332.54 / $25,703.96	Facility		$5,370.32	$9,332.54	$25,703.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,754.23	Professional		$1,202.26	$1,621.81	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,489.63 / $13,803.84	Facility		$9,772.37	$13,489.63	$13,803.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $12,022.64 / $25,118.86	Professional		$776.25	$12,022.64	$25,118.86
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Select Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $3,548.13 / $3,548.13	Professional		$707.95	$3,548.13	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $5,623.41	Professional		$3,388.44	$4,265.80	$5,623.41