Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $4,168.69	Professional		$1,862.09	$2,691.53	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,370.32	Facility		$5,128.61	$5,128.61	$5,370.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,548.13	Professional		$2,691.53	$2,691.53	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $4,570.88	Facility		$2,187.76	$2,754.23	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,388.44	Professional		$2,041.74	$2,041.74	$3,388.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,128.61 / $9,120.11	Professional		$2,884.03	$5,128.61	$9,120.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,128.61 / $6,025.60	Professional		$5,011.87	$5,128.61	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $3,311.31	Facility		$1,659.59	$2,511.89	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $4,677.35	Professional		$2,041.74	$3,162.28	$4,677.35