Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $10,964.78	Professional		$5,011.87	$7,244.36	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,882.50	Facility		$12,302.69	$12,302.69	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $9,120.11	Professional		$7,244.36	$7,244.36	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,128.31 / $10,000.00	Facility		$6,025.60	$8,128.31	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $8,128.31	Professional		$5,888.44	$5,888.44	$8,128.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $21,379.62	Professional		$6,760.83	$12,302.69	$21,379.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,302.69 / $16,218.10	Professional		$12,022.64	$12,302.69	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $8,912.51	Facility		$4,466.84	$6,025.60	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $8,511.38 / $12,022.64	Professional		$5,495.41	$8,511.38	$12,022.64