Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $436.52 / $776.25	Facility		$389.05	$436.52	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $426.58	Professional		$389.05	$389.05	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $575.44 / $812.83	Facility		$457.09	$575.44	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $436.52	Professional		$389.05	$389.05	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $389.05 / $389.05	Facility		$363.08	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $741.31	Professional		$389.05	$645.65	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $588.84	Professional		$389.05	$389.05	$588.84