Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,981.07 / $7,762.47	Facility		$1,995.26	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $4,265.80	Professional		$1,905.46	$2,137.96	$4,265.80
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 $2,187.76 / $2,884.03 / $3,890.45	Professional		$2,187.76	$2,884.03	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $3,801.89	Professional		$1,513.56	$2,630.27	$3,801.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $2,344.23 / $5,888.44	Professional		$18.62	$2,344.23	$5,888.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $7,413.10	Professional		$2,754.23	$2,754.23	$7,413.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,801.89	Professional		$1,819.70	$1,819.70	$3,801.89
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 $1,819.70 / $2,511.89 / $3,548.13	Professional		$1,819.70	$2,511.89	$3,548.13