Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,413.10 / $28,840.32	Facility		$3,019.95	$7,413.10	$28,840.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,715.35	Professional		$2,691.53	$3,162.28	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $9,332.54	Facility		$1,737.80	$3,235.94	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,388.44	Professional		$1,258.93	$1,258.93	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $11,481.54	Facility		$2,570.40	$4,570.88	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,677.35 / $5,623.41	Professional		$2,290.87	$4,677.35	$5,623.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,890.45 / $5,888.44	Professional		$977.24	$3,890.45	$5,888.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,073.80	Professional		$1,621.81	$1,621.81	$4,073.80