Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $215.46	Facility		$137.72	$137.72	$215.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $316.70	Facility		$0.02	$0.03	$316.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $114.76 / $142.50	Professional		$39.25	$114.76	$142.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $137.66 / $137.66	Professional		$137.66	$137.66	$137.66
United Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $153.91 / $157.00	Professional		$146.22	$153.91	$157.00