Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $364.21	Facility		$127.55	$127.55	$364.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Professional		$127.55	$127.55	$127.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.84 / $201.10 / $368.19	Facility		$128.84	$201.10	$368.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $122.46 / $122.46	Professional		$122.46	$122.46	$122.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $128.99 / $128.99	Facility		$128.99	$128.99	$128.99
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $143.32 / $143.32	Professional		$128.99	$143.32	$143.32
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $120.06 / $132.07	Professional		$120.06	$120.06	$132.07