Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $162.65 / $385.38	Facility		$86.98	$162.65	$385.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $267.20 / $780.80	Professional		$86.98	$267.20	$780.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $142.83 / $294.73	Facility		$104.56	$142.83	$294.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $85.27	Professional		$85.27	$85.27	$85.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $99.41 / $99.41	Professional		$99.41	$99.41	$99.41
United Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $85.27 / $94.14	Professional		$81.01	$85.27	$94.14