Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,466.84 / $10,232.93	Facility		$933.25	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,778.28	Professional		$870.96	$1,000.00	$1,778.28
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 $1,000.00 / $1,230.27 / $1,862.09	Professional		$1,000.00	$1,230.27	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,778.28	Professional		$912.01	$1,202.26	$1,778.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $1,047.13 / $2,041.74	Professional		$12.02	$1,047.13	$2,041.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,570.40	Professional		$1,318.26	$1,318.26	$2,570.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,778.28	Professional		$870.96	$870.96	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $14,791.08	Facility		$3,715.35	$6,309.57	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,621.81	Professional		$831.76	$1,096.48	$1,621.81