Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $95.75 / $209.59	Facility		$63.75	$95.75	$209.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $104.15 / $239.65	Facility		$67.64	$104.15	$239.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $63.75	Professional		$62.50	$62.50	$63.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $183.95 / $183.95	Professional		$183.95	$183.95	$183.95
United Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $62.50 / $198.06	Professional		$56.25	$62.50	$198.06