Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,466.84 / $10,232.93	Facility		$1,288.25	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $3,388.44	Professional		$1,071.52	$1,412.54	$3,388.44
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 $1,202.26 / $1,548.82 / $2,238.72	Professional		$1,202.26	$1,548.82	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,511.89	Professional		$1,047.13	$1,778.28	$2,511.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $1,318.26 / $1,862.09	Professional		$19.50	$1,318.26	$1,862.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $1,584.89	Professional		$16.98	$16.98	$1,584.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
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 $1,096.48 / $1,412.54 / $2,041.74	Professional		$1,096.48	$1,412.54	$2,041.74