Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,466.84 / $10,232.93	Facility		$2,137.96	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $5,623.41	Professional		$1,737.80	$2,290.87	$5,623.41
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 $1,949.84 / $2,511.89 / $3,630.78	Professional		$1,949.84	$2,511.89	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $3,548.13	Professional		$1,698.24	$2,570.40	$3,548.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $2,137.96 / $2,951.21	Professional		$30.90	$2,137.96	$2,951.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $2,570.40	Professional		$26.30	$26.30	$2,570.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
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 $1,621.81 / $2,238.72 / $3,311.31	Professional		$1,621.81	$2,238.72	$3,311.31