Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $5,011.87	Facility		$1,819.70	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $4,265.80	Professional		$1,621.81	$1,949.84	$4,265.80
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 $1,819.70 / $2,398.83 / $3,467.37	Professional		$1,819.70	$2,398.83	$3,467.37
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 $1,479.11 / $1,905.46 / $2,818.38	Professional		$1,479.11	$1,905.46	$2,818.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $4,786.30	Professional		$1,412.54	$2,137.96	$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 $2,344.23 / $2,344.23 / $4,786.30	Professional		$2,344.23	$2,344.23	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,659.59	Professional		$1,584.89	$1,584.89	$1,659.59
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 $1,445.44 / $1,949.84 / $3,019.95	Professional		$1,445.44	$1,949.84	$3,019.95