Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $169.00 / $420.08	Facility		$103.89	$169.00	$420.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $115.09 / $153.59	Professional		$87.07	$115.09	$153.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $380.48 / $651.11	Facility		$240.34	$380.48	$651.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $108.43 / $145.29	Professional		$78.34	$108.43	$145.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.17 / $437.15 / $625.12	Facility		$265.17	$437.15	$625.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $129.72 / $436.47	Professional		$90.23	$129.72	$436.47
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $89.00 / $171.00	Facility		$80.00	$89.00	$171.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $149.57	Professional		$35.00	$45.00	$149.57
United Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $163.21 / $202.83	Professional		$107.90	$163.21	$202.83