Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,365.16 / $7,762.47	Facility		$1,548.82	$4,365.16	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $2,884.03	Professional		$1,318.26	$1,445.44	$2,884.03
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 $1,445.44 / $1,949.84 / $2,630.27	Professional		$1,445.44	$1,949.84	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,570.40	Professional		$1,318.26	$1,819.70	$2,570.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $1,548.82 / $3,801.89	Professional		$21.38	$1,548.82	$3,801.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,786.30	Professional		$1,778.28	$1,778.28	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,570.40	Professional		$1,202.26	$1,202.26	$2,570.40
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 / $1,659.59 / $2,454.71	Professional		$1,202.26	$1,659.59	$2,454.71