Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,715.35 / $14,791.08	Facility		$1,513.56	$3,715.35	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,548.82 / $1,905.46	Professional		$354.81	$1,548.82	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,621.81 / $4,677.35	Facility		$870.96	$1,621.81	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $1,174.90	Professional		$239.88	$239.88	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $5,888.44	Facility		$1,288.25	$2,290.87	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $2,818.38	Professional		$1,548.82	$2,398.83	$2,818.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,949.84 / $2,951.21	Professional		$489.78	$1,949.84	$2,951.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $2,041.74	Professional		$812.83	$812.83	$2,041.74