Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $454.26 / $974.05	Facility		$296.27	$454.26	$974.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $296.27 / $296.27	Professional		$296.27	$296.27	$296.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $947.46	Facility		$0.02	$0.03	$947.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $261.42 / $290.47	Professional		$222.20	$261.42	$290.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $296.27 / $296.27	Professional		$296.27	$296.27	$296.27
United Facility/Professional Professional Modifier Low / Median / High Price $246.60 / $259.31 / $287.83	Professional		$246.60	$259.31	$287.83