Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $1,413.07	Facility		$903.21	$903.21	$1,413.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.54 / $1,334.89 / $2,654.29	Facility		$637.54	$1,334.89	$2,654.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $885.50	Professional		$885.50	$885.50	$885.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
United Facility/Professional Professional Modifier Low / Median / High Price $842.11 / $885.50 / $977.59	Professional		$842.11	$885.50	$977.59