Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,466.84 / $10,232.93	Facility		$1,202.26	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $2,691.53	Professional		$1,122.02	$1,202.26	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,128.31 / $10,232.93	Facility		$4,677.35	$8,128.31	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,398.83	Professional		$1,230.27	$1,584.89	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,995.26	Professional		$1,000.00	$1,380.38	$1,995.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $1,202.26 / $1,819.70	Professional		$17.38	$1,202.26	$1,819.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $1,548.82	Professional		$15.14	$15.14	$1,548.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,122.02	Professional		$1,047.13	$1,047.13	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $6,606.93	Facility		$1,071.52	$2,570.40	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,089.30	Professional		$1,148.15	$1,445.44	$2,089.30