Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $257.04	Facility		$97.72	$151.36	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $107.15	Professional		$87.10	$87.10	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $204.17	Facility		$100.00	$134.90	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $91.20	Professional		$87.10	$87.10	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $104.71	Professional		$85.11	$91.20	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $97.72	Professional		$83.18	$87.10	$97.72