Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $7,762.47	Facility		$1,621.81	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $3,467.37	Professional		$1,548.82	$1,737.80	$3,467.37
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 $1,778.28 / $2,137.96 / $3,090.30	Professional		$1,778.28	$2,137.96	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,162.28	Professional		$1,445.44	$2,089.30	$3,162.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $1,819.70 / $4,786.30	Professional		$33.11	$1,819.70	$4,786.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $6,025.60	Professional		$2,187.76	$2,187.76	$6,025.60
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,090.30	Professional		$1,479.11	$1,479.11	$3,090.30
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 $1,445.44 / $1,905.46 / $2,951.21	Professional		$1,445.44	$1,905.46	$2,951.21