Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,466.84 / $10,232.93	Facility		$2,238.72	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,370.32	Professional		$2,691.53	$3,162.28	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,022.64 / $14,454.40	Facility		$7,413.10	$12,022.64	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $5,623.41	Professional		$3,162.28	$4,365.16	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $5,495.41	Professional		$2,570.40	$3,801.89	$5,495.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $3,090.30 / $4,677.35	Professional		$38.90	$3,090.30	$4,677.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $4,168.69	Professional		$33.11	$33.11	$4,168.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $7,079.46	Professional		$2,818.38	$2,818.38	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $14,791.08	Facility		$3,715.35	$6,309.57	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $5,011.87	Professional		$2,630.27	$3,388.44	$5,011.87