Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,411.00 / $5,194.00 / $8,031.00	Facility		$2,411.00	$5,194.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,136.58 / $1,351.73 / $3,287.42	Professional		$1,136.58	$1,351.73	$3,287.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $13,227.00	Facility		$5,410.00	$6,763.00	$13,227.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.25 / $2,292.02 / $3,166.89	Professional		$1,122.25	$2,292.02	$3,166.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.00 / $7,993.34 / $7,993.34	Facility		$737.00	$7,993.34	$7,993.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.76 / $2,236.87 / $3,255.13	Professional		$1,597.76	$2,236.87	$3,255.13
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,458.67 / $2,935.00 / $2,995.00	Facility		$2,458.67	$2,935.00	$2,995.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,035.69 / $1,872.30 / $2,344.82	Professional		$1,035.69	$1,872.30	$2,344.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $8,468.00 / $13,943.00	Facility		$4,644.00	$8,468.00	$13,943.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.04 / $2,006.89 / $3,515.08	Professional		$1,131.04	$2,006.89	$3,515.08