Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,168.69 / $6,918.31	Facility		$2,951.21	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,754.40	Professional		$2,884.03	$3,388.44	$5,754.40
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 $3,467.37 / $4,265.80 / $6,309.57	Professional		$3,467.37	$4,265.80	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,073.80 / $6,025.60	Professional		$2,754.23	$4,073.80	$6,025.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $3,630.78 / $5,888.44	Professional		$43.65	$3,630.78	$5,888.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $7,413.10	Professional		$4,365.16	$4,365.16	$7,413.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $6,025.60	Professional		$2,951.21	$2,951.21	$6,025.60
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 $2,754.23 / $3,630.78 / $5,370.32	Professional		$2,754.23	$3,630.78	$5,370.32