Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,168.69 / $6,918.31	Facility		$1,348.96	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $2,570.40	Professional		$446.68	$489.78	$2,570.40
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 $489.78 / $630.96 / $954.99	Professional		$489.78	$630.96	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $758.58	Professional		$398.11	$537.03	$758.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $2,691.53	Professional		$363.08	$575.44	$2,691.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $2,691.53	Professional		$645.65	$645.65	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $457.09	Professional		$426.58	$426.58	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $831.76	Professional		$446.68	$562.34	$831.76