Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.46 / $252.97 / $463.41	Facility		$172.46	$252.97	$463.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $172.46 / $172.46	Professional		$172.46	$172.46	$172.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.80 / $252.09 / $497.08	Facility		$147.80	$252.09	$497.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Facility		$165.83	$165.83	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $162.65 / $172.08 / $207.44	Professional		$162.65	$172.08	$207.44
United Facility/Professional Professional Modifier Low / Median / High Price $149.25 / $165.83 / $184.07	Professional		$149.25	$165.83	$184.07