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 $1,778.28 / $2,290.87 / $3,388.44	Professional		$1,778.28	$2,290.87	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $3,235.94	Professional		$1,548.82	$2,238.72	$3,235.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $1,949.84 / $2,754.23	Professional		$25.70	$1,949.84	$2,754.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $2,344.23	Professional		$22.39	$22.39	$2,344.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
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 $1,513.56 / $1,995.26 / $3,019.95	Professional		$1,513.56	$1,995.26	$3,019.95