Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,466.84 / $10,232.93	Facility		$1,949.84	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $5,128.61	Professional		$1,621.81	$2,137.96	$5,128.61
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 $1,819.70 / $2,344.23 / $3,388.44	Professional		$1,819.70	$2,344.23	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $3,467.37	Professional		$1,548.82	$2,454.71	$3,467.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $2,041.74 / $2,818.38	Professional		$19.95	$2,041.74	$2,818.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $2,454.71	Professional		$16.98	$16.98	$2,454.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
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 $1,659.59 / $2,137.96 / $3,090.30	Professional		$1,659.59	$2,137.96	$3,090.30