Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.75 / $128.75 / $205.12	Facility		$128.75	$128.75	$205.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $128.75 / $136.18	Professional		$123.80	$128.75	$136.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $204.27	Professional		$123.80	$123.80	$204.27
United Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $123.80 / $129.99	Professional		$117.61	$123.80	$129.99