Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.82 / $266.05 / $495.84	Facility		$190.82	$266.05	$495.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $185.31 / $221.93	Professional		$183.48	$185.31	$221.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $290.95 / $566.99	Facility		$183.48	$290.95	$566.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Professional		$183.48	$183.48	$183.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Facility		$183.48	$183.48	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Professional		$183.48	$183.48	$183.48
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $190.40 / $219.36	Professional		$176.97	$190.40	$219.36
United Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $183.48 / $201.83	Professional		$174.31	$183.48	$201.83