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 $645.65 / $891.25 / $1,621.81	Professional		$645.65	$891.25	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,737.80	Facility		$1,659.59	$1,659.59	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,174.90	Professional		$870.96	$870.96	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,348.96	Facility		$912.01	$912.01	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,230.27	Professional		$660.69	$660.69	$1,230.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,659.59 / $2,884.03	Professional		$912.01	$1,659.59	$2,884.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $1,659.59	Professional		$1,412.54	$1,621.81	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,096.48	Facility		$549.54	$812.83	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,479.11	Professional		$676.08	$1,047.13	$1,479.11