Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,905.46	Professional		$676.08	$977.24	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,819.70	Facility		$1,737.80	$1,737.80	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,288.25	Professional		$977.24	$977.24	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,445.44	Facility		$851.14	$1,023.29	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,288.25	Professional		$741.31	$741.31	$1,288.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $3,019.95	Professional		$954.99	$1,737.80	$3,019.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $2,187.76	Professional		$1,698.24	$1,737.80	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $1,230.27	Facility		$616.60	$851.14	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,659.59	Professional		$758.58	$1,174.90	$1,659.59