Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $12,589.25	Facility		$2,137.96	$4,365.16	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,570.40	Professional		$1,148.15	$1,318.26	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,964.78 / $16,218.10	Facility		$9,332.54	$10,964.78	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,511.89	Professional		$1,148.15	$1,548.82	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $13,803.84 / $17,782.79	Facility		$12,589.25	$13,803.84	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,344.23	Professional		$933.25	$1,445.44	$2,344.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $1,412.54 / $4,073.80	Professional		$17.78	$1,412.54	$4,073.80
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,786.30	Professional		$1,778.28	$1,778.28	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,398.83	Professional		$1,174.90	$1,174.90	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $11,481.54 / $26,302.68	Facility		$1,258.93	$11,481.54	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,290.87	Professional		$1,071.52	$1,380.38	$2,290.87