Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $446.68 / $562.34	Facility		$223.87	$446.68	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $309.03	Professional		$223.87	$223.87	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $234.42 / $724.44	Facility		$223.87	$234.42	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $223.87 / $223.87	Facility		$218.78	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $363.08	Professional		$229.09	$229.09	$363.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $263.03	Professional		$223.87	$223.87	$263.03