Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,818.38 / $5,888.44	Facility		$1,122.02	$2,818.38	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,479.11	Professional		$645.65	$741.31	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $7,762.47	Facility		$3,715.35	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,318.26	Professional		$776.25	$933.25	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,318.26	Professional		$630.96	$933.25	$1,318.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $851.14 / $2,041.74	Professional		$6.17	$851.14	$2,041.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,570.40	Professional		$1,023.29	$1,023.29	$2,570.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,318.26	Professional		$691.83	$691.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,202.26	Professional		$588.84	$831.76	$1,202.26