Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $132.97	Facility		$85.00	$85.00	$132.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $85.00 / $85.00	Professional		$81.00	$85.00	$85.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $85.00 / $95.00	Professional		$64.59	$85.00	$95.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $85.00 / $85.00	Professional		$72.25	$85.00	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $160.91 / $168.97	Professional		$148.05	$160.91	$168.97