Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,238.72	Professional		$891.25	$1,230.27	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,951.21	Facility		$2,818.38	$2,818.38	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,659.59	Professional		$1,288.25	$1,288.25	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $2,511.89	Facility		$1,202.26	$1,288.25	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,819.70	Professional		$954.99	$954.99	$1,819.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $4,897.79	Professional		$1,584.89	$2,818.38	$4,897.79
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $2,818.38	Professional		$2,137.96	$2,754.23	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,380.38 / $1,548.82	Facility		$776.25	$1,380.38	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $2,511.89	Professional		$954.99	$1,479.11	$2,511.89