Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,884.03 / $5,888.44	Facility		$1,174.90	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $3,090.30	Professional		$1,122.02	$1,288.25	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $13,182.57 / $17,378.01	Facility		$6,165.95	$13,182.57	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,290.87	Professional		$1,258.93	$1,584.89	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,290.87	Professional		$1,148.15	$1,513.56	$2,290.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $1,380.38 / $12,589.25	Professional		$27.54	$1,380.38	$12,589.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $15,488.17	Professional		$1,659.59	$1,659.59	$15,488.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,238.72	Professional		$1,122.02	$1,122.02	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $12,022.64	Facility		$2,951.21	$4,786.30	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,995.26	Professional		$1,047.13	$1,380.38	$1,995.26