Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,089.30	Professional		$933.25	$1,230.27	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,511.89	Facility		$2,398.83	$2,398.83	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,737.80	Professional		$1,318.26	$1,318.26	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,995.26	Facility		$1,174.90	$1,621.81	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,621.81	Professional		$1,174.90	$1,174.90	$1,621.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $4,168.69	Professional		$1,348.96	$2,398.83	$4,168.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $2,570.40	Professional		$2,238.72	$2,398.83	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,288.25	Facility		$831.76	$1,096.48	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,238.72	Professional		$870.96	$1,380.38	$2,238.72