Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $13.91	Facility		$10.58	$10.58	$13.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Professional		$10.58	$10.58	$10.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.96 / $162.24 / $202.80	Facility		$141.96	$162.24	$202.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $150.00 / $275.70	Professional		$127.50	$150.00	$275.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.52 / $223.43 / $489.94	Facility		$129.52	$223.43	$489.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $212.03 / $255.54	Professional		$204.44	$212.03	$255.54
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $64,999.35 / $64,999.35 / $64,999.35	Professional		$64,999.35	$64,999.35	$64,999.35
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $304.50 / $304.50	Professional		$304.50	$304.50	$304.50