Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,659.59	Professional		$645.65	$891.25	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,137.96	Facility		$1,995.26	$1,995.26	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,230.27	Professional		$933.25	$933.25	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,698.24	Facility		$851.14	$1,258.93	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $3,548.13	Professional		$1,148.15	$1,995.26	$3,548.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $1,995.26	Professional		$1,513.56	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,023.29 / $1,148.15	Facility		$575.44	$1,023.29	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,621.81	Professional		$707.95	$1,096.48	$1,621.81