Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,238.72 / $5,011.87	Facility		$741.31	$2,238.72	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,621.81	Professional		$645.65	$812.83	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $8,128.31	Facility		$4,570.88	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,318.26	Professional		$691.83	$954.99	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,380.38	Professional		$630.96	$977.24	$1,380.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $1,000.00 / $2,691.53	Professional		$8.13	$1,000.00	$2,691.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $4,786.30	Professional		$912.01	$1,258.93	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,445.44	Professional		$602.56	$831.76	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $10,715.19	Facility		$2,290.87	$3,548.13	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,380.38	Professional		$660.69	$954.99	$1,380.38