Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $80.69 / $150.38	Facility		$57.87	$80.69	$150.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $70.11	Professional		$55.65	$56.20	$70.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $88.25 / $162.51	Facility		$55.65	$88.25	$162.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Professional		$55.65	$55.65	$55.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Facility		$55.65	$55.65	$55.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Professional		$55.65	$55.65	$55.65
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $57.75 / $69.62	Professional		$57.75	$57.75	$69.62
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $55.65 / $61.95	Professional		$53.00	$55.65	$61.95