Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $5,888.44	Facility		$1,318.26	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,691.53	Professional		$1,202.26	$1,380.38	$2,691.53
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 $1,258.93 / $1,698.24 / $2,511.89	Professional		$1,258.93	$1,698.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,511.89	Professional		$1,071.52	$1,548.82	$2,511.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $1,380.38 / $2,137.96	Professional		$12.02	$1,380.38	$2,137.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,949.84	Professional		$1,905.46	$1,905.46	$1,949.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,630.27	Professional		$1,258.93	$1,258.93	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,187.76	Professional		$954.99	$1,348.96	$2,187.76