Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $113.47 / $248.38	Facility		$75.55	$113.47	$248.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.70 / $25.48	Professional		$1.27	$1.70	$25.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
United Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $88.88 / $98.66	Professional		$79.98	$88.88	$98.66