Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,168.69 / $6,918.31	Facility		$1,548.82	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $3,388.44	Professional		$1,513.56	$1,659.59	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $8,128.31	Facility		$4,570.88	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $3,019.95	Professional		$1,698.24	$2,041.74	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,951.21	Professional		$1,445.44	$2,041.74	$2,951.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $1,737.80 / $4,786.30	Professional		$30.20	$1,737.80	$4,786.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $6,025.60	Professional		$2,137.96	$2,137.96	$6,025.60
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $3,801.89	Professional		$1,445.44	$1,445.44	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,168.69 / $10,715.19	Facility		$2,290.87	$4,168.69	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,691.53	Professional		$1,380.38	$1,778.28	$2,691.53