Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,466.84 / $10,232.93	Facility		$1,174.90	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,819.70	Professional		$954.99	$1,202.26	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,549.93 / $13,489.63	Facility		$6,165.95	$9,549.93	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,398.83	Professional		$1,230.27	$1,698.24	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,995.26	Professional		$1,000.00	$1,288.25	$1,995.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $1,318.26 / $1,905.46	Professional		$18.20	$1,318.26	$1,905.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $1,737.80	Professional		$15.49	$15.49	$1,737.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,174.90	Professional		$1,148.15	$1,148.15	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $6,606.93	Facility		$1,071.52	$2,570.40	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,089.30	Professional		$1,000.00	$1,318.26	$2,089.30