Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $21,665.78	Facility		$172.40	$172.40	$21,665.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.46 / $256.94 / $509.18	Facility		$167.46	$256.94	$509.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $169.02 / $169.02	Professional		$169.02	$169.02	$169.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $172.47 / $172.47	Professional		$172.47	$172.47	$172.47
United Facility/Professional Professional Modifier Low / Median / High Price $186.59 / $202.82 / $212.96	Professional		$186.59	$202.82	$212.96