Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,981.07 / $7,762.47	Facility		$1,548.82	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $3,090.30	Professional		$1,380.38	$1,548.82	$3,090.30
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 $1,584.89 / $1,949.84 / $2,754.23	Professional		$1,584.89	$1,949.84	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,884.03	Professional		$1,318.26	$1,862.09	$2,884.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $1,659.59 / $4,786.30	Professional		$28.18	$1,659.59	$4,786.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $6,025.60	Professional		$1,995.26	$1,995.26	$6,025.60
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,754.23	Professional		$1,318.26	$1,318.26	$2,754.23
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 $1,318.26 / $1,737.80 / $2,570.40	Professional		$1,318.26	$1,737.80	$2,570.40