Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.05 / $825.62 / $1,778.95	Facility		$662.05	$825.62	$1,778.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.05 / $662.05 / $662.05	Professional		$662.05	$662.05	$662.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.50 / $1,009.50 / $2,293.88	Facility		$655.50	$1,009.50	$2,293.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Facility		$636.59	$636.59	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $660.62 / $796.34	Professional		$636.59	$660.62	$796.34
United Facility/Professional Professional Modifier Low / Median / High Price $604.76 / $636.59 / $1,656.00	Professional		$604.76	$636.59	$1,656.00