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 / $954.99 / $2,344.23	Professional		$831.76	$954.99	$2,344.23
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 $812.83 / $1,071.52 / $1,778.28	Professional		$812.83	$1,071.52	$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 $602.56 / $1,047.13 / $1,659.59	Professional		$602.56	$1,047.13	$1,659.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $1,000.00 / $3,890.45	Professional		$14.13	$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 $1,230.27 / $1,230.27 / $4,786.30	Professional		$1,230.27	$1,230.27	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,737.80	Professional		$831.76	$831.76	$1,737.80
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 / $1,584.89	Professional		$758.58	$1,000.00	$1,584.89