Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,466.84 / $10,232.93	Facility		$1,584.89	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,570.40	Professional		$1,288.25	$1,513.56	$2,570.40
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 $1,258.93 / $1,737.80 / $2,884.03	Professional		$1,258.93	$1,737.80	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,659.59 / $2,691.53	Professional		$851.14	$1,659.59	$2,691.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $1,380.38 / $2,041.74	Professional		$14.79	$1,380.38	$2,041.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $2,041.74	Professional		$12.59	$12.59	$2,041.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,754.23	Professional		$1,348.96	$1,348.96	$2,754.23
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 $1,202.26 / $1,548.82 / $2,630.27	Professional		$1,202.26	$1,548.82	$2,630.27