Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $5,888.44	Facility		$1,778.28	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $3,801.89	Professional		$1,621.81	$1,995.26	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,630.78	Professional		$1,621.81	$2,187.76	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,235.94	Professional		$1,230.27	$2,187.76	$3,235.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $1,548.82 / $3,090.30	Professional		$0.07	$1,548.82	$3,090.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,884.03	Professional		$1,380.38	$1,380.38	$2,884.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $3,090.30	Professional		$1,737.80	$1,905.46	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,905.46 / $4,786.30	Facility		$407.38	$1,905.46	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,090.30	Professional		$1,288.25	$1,949.84	$3,090.30