Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,778.28	Professional		$1,659.59	$1,698.24	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,819.70 / $5,495.41	Facility		$933.25	$1,819.70	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,737.80	Professional		$1,584.89	$1,584.89	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,370.32	Facility		$1,737.80	$1,737.80	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $1,949.84	Professional		$851.14	$1,698.24	$1,949.84