Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $5,011.87	Facility		$1,230.27	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,630.27	Professional		$1,071.52	$1,258.93	$2,630.27
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 $1,174.90 / $1,584.89 / $2,187.76	Professional		$1,174.90	$1,584.89	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,949.84	Professional		$891.25	$1,288.25	$1,949.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $1,096.48 / $1,778.28	Professional		$15.85	$1,096.48	$1,778.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $1,584.89	Professional		$13.49	$13.49	$1,584.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,122.02	Professional		$1,071.52	$1,071.52	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,995.26	Professional		$1,023.29	$1,288.25	$1,995.26