Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,174.90	Professional		$588.84	$758.58	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Facility		$1,819.70	$1,819.70	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,071.52	Professional		$812.83	$812.83	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $2,137.96	Facility		$630.96	$831.76	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,174.90	Professional		$616.60	$616.60	$1,174.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $3,162.28	Professional		$1,023.29	$1,819.70	$3,162.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $1,819.70	Professional		$1,348.96	$1,778.28	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $1,122.02	Facility		$501.19	$660.69	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $954.99 / $1,621.81	Professional		$524.81	$954.99	$1,621.81