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 $1,698.24 / $2,238.72 / $5,370.32	Professional		$1,698.24	$2,238.72	$5,370.32
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 $1,862.09 / $2,398.83 / $3,467.37	Professional		$1,862.09	$2,398.83	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $3,890.45	Professional		$1,621.81	$2,754.23	$3,890.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $2,089.30 / $2,884.03	Professional		$32.36	$2,089.30	$2,884.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $2,511.89	Professional		$27.54	$27.54	$2,511.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
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 $1,737.80 / $2,187.76 / $3,311.31	Professional		$1,737.80	$2,187.76	$3,311.31