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 $1,023.29 / $1,230.27 / $3,467.37	Professional		$1,023.29	$1,230.27	$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 $1,148.15 / $1,513.56 / $2,137.96	Professional		$1,148.15	$1,513.56	$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 $870.96 / $1,148.15 / $1,737.80	Professional		$870.96	$1,148.15	$1,737.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $4,786.30	Professional		$831.76	$1,318.26	$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 $1,445.44 / $1,445.44 / $4,786.30	Professional		$1,445.44	$1,445.44	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,047.13	Professional		$977.24	$977.24	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $10,715.19	Facility		$2,290.87	$3,548.13	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,862.09	Professional		$870.96	$1,202.26	$1,862.09