Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,089.30 / $5,011.87	Facility		$912.01	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,187.76	Professional		$794.33	$977.24	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,128.31 / $11,481.54	Facility		$6,025.60	$8,128.31	$11,481.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,698.24	Professional		$912.01	$1,174.90	$1,698.24
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 $724.44 / $977.24 / $1,479.11	Professional		$724.44	$977.24	$1,479.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $4,265.80	Professional		$660.69	$1,047.13	$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 $1,174.90 / $1,174.90 / $4,265.80	Professional		$1,174.90	$1,174.90	$4,265.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Professional		$776.25	$776.25	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $18,197.01	Facility		$1,288.25	$2,344.23	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,548.82	Professional		$812.83	$1,047.13	$1,548.82