Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,466.84 / $10,232.93	Facility		$891.25	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,659.59	Professional		$776.25	$870.96	$1,659.59
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 $724.44 / $1,000.00 / $1,659.59	Professional		$724.44	$1,000.00	$1,659.59
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 $549.54 / $1,000.00 / $1,621.81	Professional		$549.54	$1,000.00	$1,621.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $912.01 / $3,890.45	Professional		$14.13	$912.01	$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 $1,148.15 / $1,148.15 / $4,786.30	Professional		$1,148.15	$1,148.15	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,621.81	Professional		$776.25	$776.25	$1,621.81
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 $707.95 / $954.99 / $1,479.11	Professional		$707.95	$954.99	$1,479.11