Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,469.64 / $7,687.65 / $15,171.00	Facility		$3,469.64	$7,687.65	$15,171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.51 / $1,694.51 / $3,469.64	Professional		$770.51	$1,694.51	$3,469.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,920.00 / $11,936.00 / $15,915.00	Facility		$9,920.00	$11,936.00	$15,915.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.36 / $1,638.08 / $2,194.37	Professional		$790.36	$1,638.08	$2,194.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $10,905.07 / $10,905.07	Facility		$1,644.00	$10,905.07	$10,905.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.55 / $2,094.94 / $4,520.78	Professional		$1,163.55	$2,094.94	$4,520.78
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $4,330.14 / $4,873.00 / $4,974.00	Facility		$4,330.14	$4,873.00	$4,974.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,500.05 / $2,199.21 / $3,475.50	Professional		$1,500.05	$2,199.21	$3,475.50
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 $1,711.46 / $3,211.88 / $5,663.46	Professional		$1,711.46	$3,211.88	$5,663.46