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 $1,174.90 / $1,479.11 / $6,918.31	Professional		$1,174.90	$1,479.11	$6,918.31
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 $1,318.26 / $1,737.80 / $2,884.03	Professional		$1,318.26	$1,737.80	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,041.74	Professional		$1,071.52	$1,412.54	$2,041.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $6,165.95	Professional		$1,096.48	$1,659.59	$6,165.95
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $6,165.95	Professional		$1,659.59	$1,659.59	$6,165.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Professional		$1,096.48	$1,096.48	$1,202.26
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 $1,096.48 / $1,412.54 / $2,137.96	Professional		$1,096.48	$1,412.54	$2,137.96