Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $151.86 / $342.89	Facility		$104.30	$151.86	$342.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $104.30 / $104.30	Professional		$104.30	$104.30	$104.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $457.92	Facility		$0.02	$0.03	$457.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $108.39 / $119.22	Professional		$81.29	$108.39	$119.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $112.48 / $135.58	Professional		$22.85	$112.48	$135.58
United Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $122.70 / $136.19	Professional		$110.43	$122.70	$136.19