Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $69.22 / $99.03	Facility		$54.75	$69.22	$99.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $69.22 / $69.22	Professional		$69.22	$69.22	$69.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $103.34 / $203.77	Facility		$76.48	$103.34	$203.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $69.62 / $69.62	Professional		$69.62	$69.62	$69.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $73.29 / $73.29	Facility		$73.29	$73.29	$73.29
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $89.57 / $107.98	Professional		$73.29	$89.57	$107.98
United Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $77.36 / $85.10	Professional		$73.29	$77.36	$85.10