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 $1,698.24 / $1,949.84 / $3,311.31	Professional		$1,698.24	$1,949.84	$3,311.31
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 $1,659.59 / $2,238.72 / $3,630.78	Professional		$1,659.59	$2,238.72	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $3,467.37	Professional		$1,288.25	$2,187.76	$3,467.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $1,862.09 / $2,630.27	Professional		$23.99	$1,862.09	$2,630.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $2,511.89	Professional		$20.42	$20.42	$2,511.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $3,801.89	Professional		$1,698.24	$1,698.24	$3,801.89
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 $1,621.81 / $2,041.74 / $3,388.44	Professional		$1,621.81	$2,041.74	$3,388.44