Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,023.29 / $1,288.25	Facility		$512.86	$1,023.29	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $707.95	Professional		$512.86	$512.86	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $537.03 / $1,621.81	Facility		$512.86	$537.03	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $512.86 / $512.86	Professional		$501.19	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $512.86	Facility		$489.78	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $831.76	Professional		$501.19	$501.19	$831.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $575.44	Professional		$512.86	$512.86	$575.44