Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,707.00 / $7,360.00 / $10,492.00	Facility		$3,707.00	$7,360.00	$10,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,918.10 / $2,376.60 / $5,825.13	Professional		$1,918.10	$2,376.60	$5,825.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,920.00 / $16,357.97 / $22,259.10	Facility		$9,920.00	$16,357.97	$22,259.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,039.49 / $4,386.39 / $6,060.68	Professional		$2,039.49	$4,386.39	$6,060.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $843.00 / $843.00	Facility		$843.00	$843.00	$843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,049.01 / $4,129.26 / $5,788.18	Professional		$3,049.01	$4,129.26	$5,788.18
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,346.67 / $2,466.00 / $2,518.00	Facility		$2,346.67	$2,466.00	$2,518.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,972.96 / $3,244.05 / $4,062.76	Professional		$1,972.96	$3,244.05	$4,062.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $8,553.00 / $13,943.00	Facility		$4,644.00	$8,553.00	$13,943.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,069.06 / $3,750.16 / $6,707.83	Professional		$2,069.06	$3,750.16	$6,707.83