Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.78 / $201.86 / $389.02	Facility		$144.78	$201.86	$389.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $167.79	Professional		$139.21	$139.21	$167.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $220.76 / $406.52	Facility		$139.21	$220.76	$406.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Facility		$139.21	$139.21	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $144.47 / $166.43	Professional		$144.46	$144.47	$166.43
United Facility/Professional Professional Modifier Low / Median / High Price $132.25 / $139.21 / $153.13	Professional		$132.25	$139.21	$153.13