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 $977.24 / $1,148.15 / $2,238.72	Professional		$977.24	$1,148.15	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $7,762.47	Facility		$3,715.35	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,137.96	Professional		$1,148.15	$1,412.54	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,041.74	Professional		$1,000.00	$1,412.54	$2,041.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $1,380.38 / $4,677.35	Professional		$13.18	$1,380.38	$4,677.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $5,754.40	Professional		$1,698.24	$1,698.24	$5,754.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,089.30	Professional		$1,148.15	$1,148.15	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $12,022.64	Facility		$2,951.21	$4,786.30	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,862.09	Professional		$912.01	$1,202.26	$1,862.09