Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,466.84 / $10,232.93	Facility		$2,238.72	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $6,456.54	Professional		$2,041.74	$2,454.71	$6,456.54
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 $1,905.46 / $2,818.38 / $3,715.35	Professional		$1,905.46	$2,818.38	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $3,630.78	Professional		$1,230.27	$1,995.26	$3,630.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $2,344.23 / $3,388.44	Professional		$20.89	$2,344.23	$3,388.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $2,884.03	Professional		$18.20	$18.20	$2,884.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
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 / $2,238.72 / $3,630.78	Professional		$1,445.44	$2,238.72	$3,630.78