Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,011.87 / $7,762.47	Facility		$1,949.84	$5,011.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $2,630.27	Professional		$1,174.90	$1,318.26	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,182.57 / $17,378.01	Facility		$7,943.28	$13,182.57	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,398.83	Professional		$1,348.96	$1,621.81	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,398.83	Professional		$1,202.26	$1,621.81	$2,398.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $1,380.38 / $8,511.38	Professional		$16.98	$1,380.38	$8,511.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $10,715.19	Professional		$1,737.80	$1,737.80	$10,715.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,344.23	Professional		$1,174.90	$1,174.90	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $12,022.64	Facility		$2,951.21	$4,677.35	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,089.30	Professional		$1,122.02	$1,445.44	$2,089.30