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 $954.99 / $1,096.48 / $2,137.96	Professional		$954.99	$1,096.48	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,182.57 / $17,378.01	Facility		$7,943.28	$13,182.57	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,041.74	Professional		$1,096.48	$1,380.38	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,995.26	Professional		$977.24	$1,348.96	$1,995.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $1,202.26 / $8,511.38	Professional		$12.30	$1,202.26	$8,511.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $10,715.19	Professional		$1,445.44	$1,445.44	$10,715.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,949.84	Professional		$954.99	$954.99	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $10,715.19	Facility		$2,290.87	$3,548.13	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,778.28	Professional		$933.25	$1,230.27	$1,778.28