Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $741.31 / $933.25	Facility		$371.54	$741.31	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $25,118.86	Professional		$371.54	$371.54	$25,118.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $1,174.90	Facility		$371.54	$389.05	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $371.54 / $371.54	Professional		$363.08	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $371.54 / $371.54	Facility		$346.74	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $602.56	Professional		$380.19	$380.19	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $436.52	Professional		$371.54	$371.54	$436.52