Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $164.60	Facility		$164.60	$164.60	$164.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $164.60 / $164.60	Professional		$164.60	$164.60	$164.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.97 / $260.99 / $483.99	Facility		$177.97	$260.99	$483.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $159.75 / $159.75	Professional		$159.75	$159.75	$159.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $168.34 / $168.34 / $168.34	Facility		$168.34	$168.34	$168.34
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $168.34 / $187.04 / $187.04	Professional		$168.34	$187.04	$187.04
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $156.69 / $172.37	Professional		$156.69	$156.69	$172.37