Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,981.07 / $7,762.47	Facility		$1,548.82	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $3,311.31	Professional		$1,445.44	$1,621.81	$3,311.31
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 $1,659.59 / $1,995.26 / $2,951.21	Professional		$1,659.59	$1,995.26	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,951.21	Professional		$1,412.54	$1,995.26	$2,951.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $1,698.24 / $5,888.44	Professional		$20.89	$1,698.24	$5,888.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $7,413.10	Professional		$2,089.30	$2,089.30	$7,413.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,884.03	Professional		$1,412.54	$1,412.54	$2,884.03
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 $1,348.96 / $1,737.80 / $2,570.40	Professional		$1,348.96	$1,737.80	$2,570.40