Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,454.71 / $5,011.87	Facility		$954.99	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $2,454.71	Professional		$870.96	$954.99	$2,454.71
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 $954.99 / $1,258.93 / $1,862.09	Professional		$954.99	$1,258.93	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,584.89	Professional		$794.33	$1,096.48	$1,584.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $4,265.80	Professional		$707.95	$1,122.02	$4,265.80
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,265.80	Professional		$1,230.27	$1,230.27	$4,265.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $891.25	Professional		$831.76	$831.76	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,659.59	Professional		$912.01	$1,148.15	$1,659.59