Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,466.84 / $10,232.93	Facility		$1,862.09	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $4,786.30	Professional		$1,513.56	$1,995.26	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $8,128.31	Facility		$4,570.88	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,162.28	Professional		$1,698.24	$2,290.87	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,238.72 / $3,311.31	Professional		$912.01	$2,238.72	$3,311.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $1,862.09 / $2,511.89	Professional		$20.89	$1,862.09	$2,511.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $2,137.96	Professional		$18.20	$18.20	$2,137.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
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 $1,445.44 / $2,089.30 / $2,818.38	Professional		$1,445.44	$2,089.30	$2,818.38