Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,981.07 / $7,762.47	Facility		$1,659.59	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $5,623.41	Professional		$1,548.82	$1,819.70	$5,623.41
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 $1,778.28 / $2,238.72 / $3,235.94	Professional		$1,778.28	$2,238.72	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,235.94	Professional		$1,621.81	$2,187.76	$3,235.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $1,905.46 / $5,888.44	Professional		$23.44	$1,905.46	$5,888.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $7,413.10	Professional		$2,238.72	$2,238.72	$7,413.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,162.28	Professional		$1,513.56	$1,513.56	$3,162.28
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 $1,513.56 / $1,995.26 / $2,818.38	Professional		$1,513.56	$1,995.26	$2,818.38