Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $68.18 / $125.18	Facility		$49.28	$68.18	$125.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $63.82	Professional		$46.32	$46.32	$63.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $69.83 / $138.84	Facility		$46.32	$69.83	$138.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Professional		$46.32	$46.32	$46.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Professional		$46.32	$46.32	$46.32
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $48.07 / $64.84	Professional		$46.32	$48.07	$64.84
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $46.32 / $51.56	Professional		$44.00	$46.32	$51.56