Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $5,888.44	Facility		$1,148.15	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,818.38	Professional		$1,000.00	$1,230.27	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $8,128.31	Facility		$4,570.88	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,905.46	Professional		$1,047.13	$1,479.11	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,122.02 / $1,737.80	Professional		$457.09	$1,122.02	$1,737.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,412.54 / $4,786.30	Professional		$724.44	$1,412.54	$4,786.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $4,786.30	Professional		$1,584.89	$1,584.89	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,047.13	Professional		$1,023.29	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,819.70	Professional		$812.83	$1,096.48	$1,819.70