Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.77 / $95.46 / $7,552.95	Facility		$52.77	$95.46	$7,552.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $52.77 / $52.77	Professional		$52.77	$52.77	$52.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $77.13 / $156.80	Facility		$50.74	$77.13	$156.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Facility		$50.74	$50.74	$50.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $55.04 / $63.48	Professional		$52.66	$55.04	$63.48
United Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $50.74 / $105.91	Professional		$45.67	$50.74	$105.91