Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $7,762.47	Facility		$1,698.24	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $3,548.13	Professional		$1,584.89	$1,819.70	$3,548.13
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 $1,479.11 / $2,238.72 / $3,311.31	Professional		$1,479.11	$2,238.72	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,162.28	Professional		$1,288.25	$1,949.84	$3,162.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $1,698.24 / $2,691.53	Professional		$15.14	$1,698.24	$2,691.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,570.40	Professional		$2,344.23	$2,344.23	$2,570.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,235.94	Professional		$1,548.82	$1,548.82	$3,235.94
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 $1,023.29 / $1,698.24 / $2,818.38	Professional		$1,023.29	$1,698.24	$2,818.38