Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,454.71 / $5,011.87	Facility		$812.83	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,348.96	Professional		$630.96	$776.25	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $7,762.47	Facility		$3,715.35	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,412.54	Professional		$616.60	$851.14	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,348.96	Professional		$660.69	$831.76	$1,348.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,238.72	Professional		$707.95	$1,000.00	$2,238.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $3,019.95	Professional		$1,000.00	$1,348.96	$3,019.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,318.26	Professional		$660.69	$891.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,380.38	Professional		$691.83	$870.96	$1,380.38