Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,168.69 / $6,918.31	Facility		$1,348.96	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $3,467.37	Professional		$1,148.15	$1,412.54	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $8,128.31	Facility		$4,570.88	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,137.96	Professional		$1,174.90	$1,698.24	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,949.84	Professional		$851.14	$1,258.93	$1,949.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $4,786.30	Professional		$812.83	$1,584.89	$4,786.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,786.30	Professional		$1,778.28	$1,778.28	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,089.30	Professional		$954.99	$1,230.27	$2,089.30