Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,466.84 / $10,232.93	Facility		$776.25	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,479.11	Professional		$691.83	$831.76	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $7,762.47	Facility		$3,715.35	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,479.11	Professional		$776.25	$1,000.00	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,230.27	Professional		$630.96	$870.96	$1,230.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $2,691.53	Professional		$562.34	$891.25	$2,691.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,691.53	Professional		$1,000.00	$1,000.00	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $724.44	Professional		$660.69	$660.69	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $9,120.11	Facility		$1,659.59	$3,162.28	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,318.26	Professional		$707.95	$891.25	$1,318.26