Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $3,162.28	Facility		$1,288.25	$2,630.27	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,318.26	Professional		$1,258.93	$1,288.25	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $4,168.69	Facility		$1,202.26	$1,380.38	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $1,288.25	Professional		$371.54	$371.54	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,318.26 / $1,318.26	Professional		$398.11	$1,318.26	$1,318.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,348.96	Professional		$1,288.25	$1,318.26	$1,348.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $380.19	Professional		$331.13	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,412.54	Professional		$1,230.27	$1,288.25	$1,412.54