Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $10,232.93	Facility		$1,148.15	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $3,019.95	Professional		$933.25	$1,258.93	$3,019.95
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 $1,071.52 / $1,412.54 / $1,995.26	Professional		$1,071.52	$1,412.54	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,187.76	Professional		$912.01	$1,412.54	$2,187.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $1,174.90 / $1,584.89	Professional		$18.62	$1,174.90	$1,584.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $1,348.96	Professional		$15.85	$15.85	$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 $954.99 / $1,318.26 / $1,862.09	Professional		$954.99	$1,318.26	$1,862.09