Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $5,888.44	Facility		$1,148.15	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,584.89	Professional		$512.86	$660.69	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,047.13	Professional		$562.34	$794.33	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $891.25	Professional		$478.63	$588.84	$891.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $2,570.40	Professional		$501.19	$776.25	$2,570.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $2,570.40	Professional		$707.95	$707.95	$2,570.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,905.46 / $4,786.30	Facility		$407.38	$1,905.46	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $977.24	Professional		$478.63	$724.44	$977.24