Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $5,888.44	Facility		$1,348.96	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $2,884.03	Professional		$1,258.93	$1,412.54	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,022.64 / $14,454.40	Facility		$7,413.10	$12,022.64	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,570.40	Professional		$1,479.11	$1,819.70	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,570.40	Professional		$1,258.93	$1,778.28	$2,570.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $1,621.81 / $4,677.35	Professional		$9.55	$1,621.81	$4,677.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $5,754.40	Professional		$1,949.84	$1,949.84	$5,754.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,570.40	Professional		$1,288.25	$1,288.25	$2,570.40
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 $1,174.90 / $1,584.89 / $2,290.87	Professional		$1,174.90	$1,584.89	$2,290.87