Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $776.25 / $977.24	Facility		$380.19	$776.25	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $489.78	Professional		$380.19	$380.19	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $407.38 / $1,230.27	Facility		$380.19	$407.38	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $398.11	Professional		$380.19	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $630.96	Professional		$380.19	$380.19	$630.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $436.52	Professional		$380.19	$380.19	$436.52