Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $7,762.47	Facility		$1,862.09	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $4,265.80	Professional		$1,659.59	$1,862.09	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $8,128.31	Facility		$4,570.88	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,715.35	Professional		$1,862.09	$2,570.40	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,090.30	Professional		$1,584.89	$2,137.96	$3,090.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $4,786.30	Professional		$1,513.56	$2,187.76	$4,786.30
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 $2,398.83 / $2,398.83 / $4,786.30	Professional		$2,398.83	$2,398.83	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,778.28	Professional		$1,621.81	$1,621.81	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $10,715.19	Facility		$2,290.87	$3,548.13	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,235.94	Professional		$1,621.81	$2,187.76	$3,235.94