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 $831.76 / $977.24 / $3,548.13	Professional		$831.76	$977.24	$3,548.13
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 $831.76 / $1,096.48 / $1,778.28	Professional		$831.76	$1,096.48	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $4,265.80	Facility		$3,090.30	$4,168.69	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,659.59	Professional		$691.83	$1,071.52	$1,659.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $1,000.00 / $3,890.45	Professional		$12.88	$1,000.00	$3,890.45
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 $1,258.93 / $1,258.93 / $4,786.30	Professional		$1,258.93	$1,258.93	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,778.28	Professional		$831.76	$831.76	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,548.13 / $10,715.19	Facility		$1,258.93	$3,548.13	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,659.59	Professional		$758.58	$1,000.00	$1,659.59