Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $6,918.31	Facility		$1,513.56	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $3,311.31	Professional		$1,445.44	$1,621.81	$3,311.31
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 $1,659.59 / $2,089.30 / $2,951.21	Professional		$1,659.59	$2,089.30	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,884.03	Professional		$1,479.11	$2,041.74	$2,884.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $1,778.28 / $4,786.30	Professional		$28.18	$1,778.28	$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 $1,412.54 / $1,412.54 / $2,884.03	Professional		$1,412.54	$1,412.54	$2,884.03
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 $1,412.54 / $1,862.09 / $2,630.27	Professional		$1,412.54	$1,862.09	$2,630.27