Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $5,011.87	Facility		$1,621.81	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $3,388.44	Professional		$1,479.11	$1,698.24	$3,388.44
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 $1,737.80 / $2,089.30 / $3,090.30	Professional		$1,737.80	$2,089.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,019.95	Professional		$1,513.56	$2,041.74	$3,019.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $1,819.70 / $2,630.27	Professional		$17.78	$1,819.70	$2,630.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,570.40	Professional		$2,290.87	$2,290.87	$2,570.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,019.95	Professional		$1,513.56	$1,513.56	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,754.23	Professional		$1,412.54	$1,819.70	$2,754.23