Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $154.88 / $239.88	Facility		$128.82	$154.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $173.78	Professional		$83.18	$83.18	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $251.19	Facility		$107.15	$134.90	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $87.10	Professional		$85.11	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $102.33	Professional		$91.20	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $120.23	Professional		$83.18	$85.11	$120.23