Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $22.35 / $48.90	Facility		$14.88	$22.35	$48.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $45.67	Facility		$0.02	$0.03	$45.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $14.88 / $30.15	Professional		$11.16	$14.88	$30.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $17.50 / $19.43	Professional		$15.75	$17.50	$19.43