Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,466.84 / $10,232.93	Facility		$1,096.48	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,884.03	Professional		$891.25	$1,202.26	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,182.57 / $17,378.01	Facility		$7,943.28	$13,182.57	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,905.46	Professional		$1,023.29	$1,288.25	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,621.81	Professional		$870.96	$1,096.48	$1,621.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $1,096.48 / $1,513.56	Professional		$14.79	$1,096.48	$1,513.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $1,318.26	Professional		$12.59	$12.59	$1,318.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
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 $870.96 / $1,348.96 / $1,778.28	Professional		$870.96	$1,348.96	$1,778.28