Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,466.84 / $10,232.93	Facility		$912.01	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,698.24	Professional		$707.95	$933.25	$1,698.24
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 $912.01 / $1,122.02 / $1,698.24	Professional		$912.01	$1,122.02	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,737.80	Professional		$776.25	$1,122.02	$1,737.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $1,000.00 / $12,022.64	Professional		$9.12	$1,000.00	$12,022.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $14,791.08	Professional		$1,258.93	$1,258.93	$14,791.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,737.80	Professional		$851.14	$851.14	$1,737.80
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 $724.44 / $977.24 / $1,479.11	Professional		$724.44	$977.24	$1,479.11