Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $5,011.87	Facility		$1,202.26	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $2,454.71	Professional		$1,047.13	$1,202.26	$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 $1,230.27 / $1,698.24 / $2,187.76	Professional		$1,230.27	$1,698.24	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,187.76	Professional		$933.25	$1,513.56	$2,187.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $1,230.27 / $1,737.80	Professional		$11.75	$1,230.27	$1,737.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,548.82	Professional		$1,479.11	$1,479.11	$1,548.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,137.96	Professional		$1,047.13	$1,047.13	$2,137.96
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 $1,023.29 / $1,348.96 / $1,949.84	Professional		$1,023.29	$1,348.96	$1,949.84