Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $7,762.47	Facility		$1,621.81	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $3,981.07	Professional		$1,445.44	$1,737.80	$3,981.07
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 $1,621.81 / $2,290.87 / $2,951.21	Professional		$1,621.81	$2,290.87	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,454.71	Professional		$1,258.93	$1,584.89	$2,454.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $4,786.30	Professional		$1,122.02	$1,819.70	$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 $2,041.74 / $2,041.74 / $4,786.30	Professional		$2,041.74	$2,041.74	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,479.11	Professional		$1,348.96	$1,348.96	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,168.69 / $10,715.19	Facility		$2,290.87	$4,168.69	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,630.27	Professional		$1,380.38	$1,819.70	$2,630.27