Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,981.07 / $7,762.47	Facility		$1,548.82	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,344.23	Professional		$1,174.90	$1,548.82	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $7,762.47	Facility		$3,715.35	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,398.83	Professional		$1,096.48	$1,445.44	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,187.76	Professional		$1,000.00	$1,445.44	$2,187.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,344.23	Professional		$1,202.26	$1,621.81	$2,344.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,691.53	Professional		$1,819.70	$1,819.70	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,318.26	Professional		$1,202.26	$1,202.26	$1,318.26
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 $1,047.13 / $1,318.26 / $2,290.87	Professional		$1,047.13	$1,318.26	$2,290.87