Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,630.78 / $11,748.98	Facility		$1,737.80	$3,630.78	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,089.30	Professional		$1,202.26	$1,778.28	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,862.09 / $5,370.32	Facility		$977.24	$1,862.09	$5,370.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $1,698.24	Professional		$1,348.96	$1,548.82	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $3,630.78	Facility		$1,445.44	$2,570.40	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,162.28	Professional		$2,570.40	$2,570.40	$3,162.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,630.78	Professional		$2,238.72	$2,238.72	$3,630.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,513.56	Facility		$776.25	$776.25	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,238.72	Professional		$933.25	$1,318.26	$2,238.72