Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,168.69 / $6,918.31	Facility		$870.96	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,412.54	Professional		$707.95	$812.83	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,332.54 / $10,964.78	Facility		$5,370.32	$9,332.54	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,584.89	Professional		$724.44	$933.25	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $1,479.11	Professional		$537.03	$891.25	$1,479.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $891.25 / $3,890.45	Professional		$9.33	$891.25	$3,890.45
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 $1,122.02 / $1,122.02 / $4,786.30	Professional		$1,122.02	$1,122.02	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,659.59	Professional		$741.31	$741.31	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $9,120.11	Facility		$1,096.48	$2,754.23	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,412.54	Professional		$645.65	$851.14	$1,412.54