Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $141.25 / $275.42	Facility		$89.13	$141.25	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $120.23	Professional		$57.54	$97.72	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $234.42	Facility		$109.65	$154.88	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
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 $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $102.33	Professional		$85.11	$89.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $95.50	Professional		$87.10	$87.10	$95.50