Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $61.66 / $63.10	Facility		$21.88	$61.66	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $26.92	Professional		$21.88	$21.88	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $34.67 / $56.23	Facility		$24.55	$34.67	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.44 / $23.44	Professional		$20.89	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $21.88	Professional		$19.95	$19.95	$21.88