Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,466.84 / $10,232.93	Facility		$2,041.74	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $4,677.35	Professional		$1,778.28	$2,187.76	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,128.31 / $11,748.98	Facility		$4,677.35	$8,128.31	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,801.89	Professional		$1,995.26	$2,630.27	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,162.28	Professional		$1,621.81	$2,187.76	$3,162.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $1,949.84 / $2,884.03	Professional		$16.22	$1,949.84	$2,884.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $2,511.89	Professional		$13.80	$13.80	$2,511.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,819.70	Professional		$1,698.24	$1,698.24	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $6,606.93	Facility		$1,071.52	$2,570.40	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,388.44	Professional		$1,584.89	$2,137.96	$3,388.44