Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $5,888.44	Facility		$1,148.15	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,778.28	Professional		$776.25	$891.25	$1,778.28
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 $891.25 / $1,096.48 / $1,621.81	Professional		$891.25	$1,096.48	$1,621.81
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 $794.33 / $1,071.52 / $1,659.59	Professional		$794.33	$1,071.52	$1,659.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $954.99 / $3,801.89	Professional		$14.79	$954.99	$3,801.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $4,786.30	Professional		$1,174.90	$1,174.90	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,584.89	Professional		$794.33	$794.33	$1,584.89
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 $776.25 / $1,000.00 / $1,445.44	Professional		$776.25	$1,000.00	$1,445.44