Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,623.41 / $21,877.62	Facility		$2,290.87	$5,623.41	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $2,818.38	Professional		$2,041.74	$2,344.23	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $7,079.46	Facility		$1,288.25	$2,454.71	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,137.96	Professional		$1,174.90	$1,174.90	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $8,709.64	Facility		$1,905.46	$3,388.44	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $4,265.80	Professional		$2,344.23	$3,548.13	$4,265.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,884.03 / $4,466.84	Professional		$724.44	$2,884.03	$4,466.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,090.30	Professional		$1,230.27	$1,230.27	$3,090.30