Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,897.79 / $16,982.44	Facility		$389.05	$4,897.79	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $3,090.30	Professional		$2,137.96	$2,570.40	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $7,585.78	Facility		$1,412.54	$2,630.27	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,905.46	Professional		$501.19	$501.19	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,715.35 / $5,128.61	Facility		$2,041.74	$3,715.35	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,890.45 / $4,570.88	Professional		$3,630.78	$3,890.45	$4,570.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,128.61	Professional		$3,162.28	$3,162.28	$5,128.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,311.31	Professional		$1,318.26	$1,318.26	$3,311.31