Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.97 / $222.82 / $444.43	Facility		$156.97	$222.82	$444.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $156.97 / $156.97	Professional		$149.50	$156.97	$156.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.15 / $256.45 / $461.32	Facility		$165.15	$256.45	$461.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $149.50 / $149.50	Professional		$149.50	$149.50	$149.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $120.37 / $120.37 / $120.37	Facility		$120.37	$120.37	$120.37
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $120.37 / $128.35 / $154.72	Professional		$120.37	$128.35	$154.72
United Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $153.90 / $169.29	Professional		$137.66	$153.90	$169.29