Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $6,918.31	Facility		$2,691.53	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,786.30	Professional		$2,344.23	$2,818.38	$4,786.30
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 $2,884.03 / $3,467.37 / $4,786.30	Professional		$2,884.03	$3,467.37	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $5,011.87	Professional		$2,187.76	$3,311.31	$5,011.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $2,951.21 / $5,888.44	Professional		$48.98	$2,951.21	$5,888.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $7,413.10	Professional		$3,630.78	$3,630.78	$7,413.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $5,011.87	Professional		$2,398.83	$2,398.83	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $12,022.64	Facility		$2,951.21	$4,786.30	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $4,570.88	Professional		$2,290.87	$3,019.95	$4,570.88