Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,981.07 / $7,762.47	Facility		$1,548.82	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $3,981.07	Professional		$870.96	$1,047.13	$3,981.07
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 $977.24 / $1,258.93 / $1,819.70	Professional		$977.24	$1,258.93	$1,819.70
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 $758.58 / $1,000.00 / $1,513.56	Professional		$758.58	$1,000.00	$1,513.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $4,786.30	Professional		$724.44	$1,174.90	$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 $1,318.26 / $1,318.26 / $4,786.30	Professional		$1,318.26	$1,318.26	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $891.25	Professional		$870.96	$870.96	$891.25
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 $776.25 / $1,023.29 / $1,584.89	Professional		$776.25	$1,023.29	$1,584.89