Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,466.84 / $10,232.93	Facility		$1,513.56	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,454.71	Professional		$1,230.27	$1,445.44	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,128.31 / $11,748.98	Facility		$4,677.35	$8,128.31	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,754.23	Professional		$1,202.26	$1,659.59	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,584.89 / $2,570.40	Professional		$870.96	$1,584.89	$2,570.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $1,348.96 / $1,995.26	Professional		$16.22	$1,348.96	$1,995.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $1,905.46	Professional		$13.80	$13.80	$1,905.46
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,630.27	Professional		$1,288.25	$1,288.25	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,905.46 / $6,606.93	Facility		$776.25	$1,905.46	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,511.89	Professional		$1,148.15	$1,513.56	$2,511.89