Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,011.87 / $7,762.47	Facility		$1,949.84	$5,011.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,659.59	Professional		$831.76	$954.99	$1,659.59
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 $933.25 / $1,258.93 / $1,862.09	Professional		$933.25	$1,258.93	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,548.82	Professional		$794.33	$1,071.52	$1,548.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $4,786.30	Professional		$758.58	$1,096.48	$4,786.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $4,786.30	Professional		$1,202.26	$1,202.26	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $891.25	Professional		$812.83	$812.83	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $10,715.19	Facility		$2,290.87	$3,548.13	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,659.59	Professional		$870.96	$1,071.52	$1,659.59