Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $22,908.68	Facility		$2,818.38	$5,754.40	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $2,951.21	Professional		$2,137.96	$2,398.83	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,570.40 / $7,244.36	Facility		$1,348.96	$2,570.40	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,819.70	Professional		$1,513.56	$1,513.56	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $9,120.11	Facility		$1,995.26	$3,548.13	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $4,466.84	Professional		$3,548.13	$3,715.35	$4,466.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $3,019.95 / $3,162.28	Professional		$758.58	$3,019.95	$3,162.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,162.28	Professional		$1,258.93	$1,258.93	$3,162.28