Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $5,888.44	Facility		$1,148.15	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,819.70	Professional		$912.01	$1,174.90	$1,819.70
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 $891.25 / $1,096.48 / $1,819.70	Professional		$891.25	$1,096.48	$1,819.70
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 $758.58 / $1,122.02 / $1,819.70	Professional		$758.58	$1,122.02	$1,819.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,290.87	Professional		$912.01	$1,479.11	$2,290.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,691.53	Professional		$1,380.38	$1,380.38	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,000.00	Professional		$912.01	$912.01	$1,000.00
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 $812.83 / $1,000.00 / $1,778.28	Professional		$812.83	$1,000.00	$1,778.28