Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $73.28 / $137.71	Facility		$51.25	$73.28	$137.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $51.25 / $51.25	Professional		$51.25	$51.25	$51.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.88 / $74.92 / $147.72	Facility		$52.88	$74.92	$147.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Facility		$49.28	$49.28	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $53.46 / $61.65	Professional		$51.14	$53.46	$61.65
United Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $49.28 / $54.70	Professional		$44.35	$49.28	$54.70