Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $10,232.93	Facility		$1,621.81	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $4,365.16	Professional		$1,380.38	$1,778.28	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,128.31 / $8,128.31	Facility		$4,677.35	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,570.40	Professional		$1,513.56	$1,949.84	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $3,019.95	Professional		$1,096.48	$2,041.74	$3,019.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $1,698.24 / $2,398.83	Professional		$15.49	$1,698.24	$2,398.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $2,041.74	Professional		$13.18	$13.18	$2,041.74
Select 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
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 $1,258.93 / $1,737.80 / $2,511.89	Professional		$1,258.93	$1,737.80	$2,511.89