Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $792.68 / $2,114.46	Facility		$722.00	$792.68	$2,114.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $499.70 / $532.00	Professional		$402.80	$499.70	$532.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.36 / $921.20 / $1,881.00	Facility		$349.36	$921.20	$1,881.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.60 / $720.17 / $1,179.06	Professional		$387.60	$720.17	$1,179.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,107.27 / $4,362.07	Facility		$494.00	$2,107.27	$4,362.07
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $1,384.72 / $1,877.20	Professional		$874.00	$1,384.72	$1,877.20
United Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $469.22 / $1,333.72	Professional		$380.00	$469.22	$1,333.72