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 $954.99 / $1,380.38 / $2,570.40	Professional		$954.99	$1,380.38	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,691.53	Facility		$2,570.40	$2,570.40	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,862.09	Professional		$1,380.38	$1,380.38	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,137.96	Facility		$1,445.44	$1,949.84	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,089.30	Professional		$1,148.15	$1,445.44	$2,089.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $4,466.84	Professional		$1,445.44	$2,570.40	$4,466.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,570.40	Professional		$2,137.96	$2,570.40	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,737.80	Facility		$870.96	$1,258.93	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,344.23	Professional		$1,071.52	$1,659.59	$2,344.23