Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.13 / $1,064.32 / $1,064.32	Facility		$244.13	$1,064.32	$1,064.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.13 / $1,064.32 / $1,064.32	Professional		$244.13	$1,064.32	$1,064.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.92 / $820.55 / $911.54	Facility		$652.92	$820.55	$911.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $226.53 / $328.46	Professional		$154.29	$226.53	$328.46
United Facility/Professional Professional Modifier Low / Median / High Price $215.45 / $260.33 / $669.43	Professional		$215.45	$260.33	$669.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $187.37 / $257.91	Professional		$136.16	$187.37	$257.91