Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $57.59 / $17,166.24	Facility		$22.16	$57.59	$17,166.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.16 / $22.16	Professional		$22.16	$22.16	$22.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $32.40 / $66.12	Facility		$21.31	$32.40	$66.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Facility		$21.31	$21.31	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.12 / $26.65	Professional		$22.11	$22.12	$26.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $21.31 / $34.10	Professional		$20.23	$21.31	$34.10