Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.05 / $183.05 / $327.96	Facility		$122.05	$183.05	$327.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.05 / $122.05 / $122.05	Professional		$122.05	$122.05	$122.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.85 / $178.41 / $351.79	Facility		$120.85	$178.41	$351.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Facility		$117.36	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $121.79 / $146.81	Professional		$112.14	$121.79	$146.81
United Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $117.36 / $130.27	Professional		$105.62	$117.36	$130.27