Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $398.11 / $36,307.81	Facility		$194.98	$398.11	$36,307.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Professional		$194.98	$194.98	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $630.96	Facility		$194.98	$204.17	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $223.87	Professional		$186.21	$199.53	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Professional		$194.98	$194.98	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87