Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,096.48 / $1,380.38	Facility		$549.54	$1,096.48	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,122.02	Professional		$549.54	$549.54	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $575.44 / $1,737.80	Facility		$549.54	$575.44	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Professional		$549.54	$549.54	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $660.69	Facility		$549.54	$549.54	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $758.58	Professional		$676.08	$676.08	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Professional		$524.81	$524.81	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $645.65	Professional		$549.54	$549.54	$645.65