Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $122.63 / $228.54	Facility		$87.95	$122.63	$228.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $102.28	Professional		$84.57	$84.57	$102.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $127.49 / $253.50	Facility		$84.57	$127.49	$253.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Facility		$84.57	$84.57	$84.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $87.76 / $101.11	Professional		$81.93	$87.76	$101.11
United Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $84.57 / $93.03	Professional		$80.34	$84.57	$93.03