Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $288.40	Facility		$104.71	$173.78	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $229.09	Professional		$70.79	$87.10	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $138.04 / $251.19	Facility		$109.65	$138.04	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $89.13	Professional		$87.10	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $114.82	Professional		$89.13	$95.50	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $95.50	Professional		$77.62	$87.10	$95.50