Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $86.15 / $154.15	Facility		$57.37	$86.15	$154.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $57.37 / $66.73	Professional		$55.16	$57.37	$66.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.19 / $92.39 / $170.46	Facility		$59.19	$92.39	$170.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Facility		$55.16	$55.16	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $54.58 / $54.58	Facility		$54.58	$54.58	$54.58
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $59.85 / $69.01	Professional		$47.88	$59.85	$69.01
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $60.68	Professional		$22.06	$55.16	$60.68