Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,168.69 / $6,918.31	Facility		$1,995.26	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $4,466.84	Professional		$1,778.28	$1,995.26	$4,466.84
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 $1,949.84 / $2,691.53 / $3,890.45	Professional		$1,949.84	$2,691.53	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,235.94	Professional		$1,698.24	$2,238.72	$3,235.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $4,786.30	Professional		$1,584.89	$2,290.87	$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 $2,511.89 / $2,511.89 / $4,786.30	Professional		$2,511.89	$2,511.89	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,862.09	Professional		$1,698.24	$1,698.24	$1,862.09
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 $1,778.28 / $2,290.87 / $3,388.44	Professional		$1,778.28	$2,290.87	$3,388.44