Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $4,228.00 / $8,031.00	Facility		$82.07	$4,228.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $55.13 / $160.52	Professional		$24.60	$55.13	$160.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $71.65 / $110.90	Professional		$29.09	$71.65	$110.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.63 / $106.74 / $160.54	Professional	50	$43.63	$106.74	$160.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $78.73 / $165.95	Professional		$39.68	$78.73	$165.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $48.57 / $88.89	Professional		$28.80	$48.57	$88.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $97.50 / $172.95	Professional		$64.20	$97.50	$172.95