Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $302.00	Facility		$109.65	$158.49	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $107.15	Professional		$57.54	$72.44	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $169.82 / $295.12	Facility		$109.65	$169.82	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $128.82	Professional		$43.65	$66.07	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $134.90 / $398.11	Facility		$70.79	$134.90	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $158.49	Professional		$61.66	$107.15	$158.49
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $144.54	Professional		$51.29	$91.20	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $190.55	Professional		$54.95	$69.18	$190.55