Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.27 / $220.24 / $395.70	Facility		$147.27	$220.24	$395.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $147.27 / $147.27	Professional		$147.27	$147.27	$147.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.02 / $215.26 / $437.57	Facility		$128.02	$215.26	$437.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Facility		$141.60	$141.60	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $153.63 / $177.14	Professional		$146.94	$153.63	$177.14
United Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $141.60 / $158.18	Professional		$127.44	$141.60	$158.18