Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $2,884.03	Facility		$416.87	$812.83	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $977.24	Professional		$416.87	$416.87	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $1,000.00	Facility		$186.21	$346.74	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $251.19	Professional		$165.96	$165.96	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $436.52 / $489.78	Facility		$288.40	$436.52	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $602.56	Professional		$478.63	$512.86	$602.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $416.87 / $436.52	Professional		$104.71	$416.87	$436.52
Select Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $616.60	Professional		$173.78	$186.21	$616.60