Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,918.31 / $10,715.19	Facility		$2,137.96	$6,918.31	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $3,890.45	Professional		$1,000.00	$1,318.26	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,182.57 / $22,908.68	Facility		$7,943.28	$13,182.57	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,089.30	Professional		$1,122.02	$1,445.44	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,778.28	Professional		$954.99	$1,148.15	$1,778.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,584.89	Professional		$1,047.13	$1,230.27	$1,584.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
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 $1,023.29 / $1,479.11 / $1,949.84	Professional		$1,023.29	$1,479.11	$1,949.84