Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $64.15 / $114.88	Facility		$42.75	$64.15	$114.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $42.75 / $42.75	Professional		$42.75	$42.75	$42.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $62.50 / $131.68	Facility		$42.33	$62.50	$131.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Facility		$41.11	$41.11	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $51.42	Professional		$42.66	$42.66	$51.42
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $41.11 / $49.62	Professional		$37.00	$41.11	$49.62