Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,884.03 / $5,888.44	Facility		$1,288.25	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,019.95	Professional		$1,122.02	$1,412.54	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,332.54 / $13,489.63	Facility		$6,165.95	$9,332.54	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,570.40	Professional		$1,288.25	$1,698.24	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,089.30	Professional		$1,047.13	$1,412.54	$2,089.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $3,801.89	Professional		$977.24	$1,412.54	$3,801.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,801.89	Professional		$1,548.82	$1,548.82	$3,801.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,174.90	Professional		$1,047.13	$1,047.13	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,137.96	Professional		$1,148.15	$1,445.44	$2,137.96