Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,023.29	Professional		$524.81	$645.65	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Facility		$1,548.82	$1,548.82	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $912.01	Professional		$707.95	$707.95	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $707.95 / $1,513.56	Facility		$616.60	$707.95	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,000.00	Professional		$524.81	$524.81	$1,000.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $2,691.53	Professional		$870.96	$1,548.82	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,548.82	Professional		$1,148.15	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $562.34 / $912.01	Facility		$426.58	$562.34	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $812.83 / $1,412.54	Professional		$446.68	$812.83	$1,412.54