Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.72 / $901.34 / $1,657.14	Facility		$616.72	$901.34	$1,657.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.72 / $616.72 / $616.72	Professional		$616.72	$616.72	$616.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $901.48 / $1,822.66	Facility		$593.00	$901.48	$1,822.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Facility		$593.00	$593.00	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $615.38 / $643.35 / $741.82	Professional		$615.38	$643.35	$741.82
United Facility/Professional Professional Modifier Low / Median / High Price $533.70 / $593.00 / $716.68	Professional		$533.70	$593.00	$716.68