Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,479.11	Facility		$1,202.26	$1,318.26	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,818.38	Professional		$1,258.93	$1,621.81	$2,818.38
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 $1,318.26 / $1,862.09 / $3,019.95	Professional		$1,318.26	$1,862.09	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,090.30	Professional		$1,445.44	$1,995.26	$3,090.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $1,698.24 / $2,570.40	Professional		$32.36	$1,698.24	$2,570.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,398.83	Professional		$1,148.15	$1,659.59	$2,398.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,884.03	Professional		$1,122.02	$1,621.81	$2,884.03
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 $1,348.96 / $1,905.46 / $2,818.38	Professional		$1,348.96	$1,905.46	$2,818.38