Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,168.69 / $6,918.31	Facility		$1,348.96	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $2,754.23	Professional		$1,230.27	$1,380.38	$2,754.23
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 $1,412.54 / $1,778.28 / $2,511.89	Professional		$1,412.54	$1,778.28	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,454.71	Professional		$1,202.26	$1,778.28	$2,454.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $1,548.82 / $4,786.30	Professional		$19.05	$1,548.82	$4,786.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $6,025.60	Professional		$1,819.70	$1,819.70	$6,025.60
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,454.71	Professional		$1,202.26	$1,202.26	$2,454.71
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 $1,202.26 / $1,584.89 / $2,238.72	Professional		$1,202.26	$1,584.89	$2,238.72