Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $302.00	Facility		$81.28	$138.04	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $31.62	Professional		$18.20	$21.88	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $74.13 / $109.65	Facility		$52.48	$74.13	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $64.57	Professional		$20.89	$30.20	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $131.83 / $147.91	Facility		$64.57	$131.83	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $91.20	Professional		$23.99	$35.48	$91.20
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $40.74 / $75.86	Professional		$20.42	$40.74	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $40.74	Professional		$25.12	$30.90	$40.74