Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,466.84 / $10,232.93	Facility		$1,949.84	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,162.28	Professional		$1,659.59	$1,905.46	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $7,762.47	Facility		$4,466.84	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,630.78	Professional		$1,621.81	$2,187.76	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $3,388.44	Professional		$1,288.25	$2,137.96	$3,388.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $1,778.28 / $2,511.89	Professional		$20.89	$1,778.28	$2,511.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $2,398.83	Professional		$18.20	$18.20	$2,398.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,715.35	Professional		$1,621.81	$1,621.81	$3,715.35
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 $1,584.89 / $1,995.26 / $3,235.94	Professional		$1,584.89	$1,995.26	$3,235.94