Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.14 / $112.93 / $193.85	Facility		$72.14	$112.93	$193.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $70.06 / $93.76	Professional		$69.37	$70.06	$93.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $104.58 / $207.94	Facility		$69.37	$104.58	$207.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Facility		$69.37	$69.37	$69.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $73.26 / $113.21	Professional		$68.70	$73.26	$113.21
United Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $69.37 / $77.22	Professional		$62.43	$69.37	$77.22