Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,570.88 / $7,762.47	Facility		$1,737.80	$4,570.88	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $4,570.88	Professional		$1,202.26	$1,513.56	$4,570.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $7,762.47	Facility		$3,715.35	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,137.96	Professional		$1,288.25	$1,659.59	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,621.81 / $2,398.83	Professional		$660.69	$1,621.81	$2,398.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,570.40	Professional		$1,096.48	$1,737.80	$2,570.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,570.40	Professional		$1,584.89	$1,584.89	$2,570.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,187.76	Professional		$1,047.13	$1,445.44	$2,187.76