Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,090.00 / $8,031.00 / $15,171.00	Facility		$4,090.00	$8,031.00	$15,171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.03 / $1,671.56 / $4,109.84	Professional		$1,370.03	$1,671.56	$4,109.84
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 $1,432.25 / $2,934.44 / $4,054.52	Professional		$1,432.25	$2,934.44	$4,054.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $13,436.11 / $13,436.11	Facility		$1,644.00	$13,436.11	$13,436.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,121.25 / $2,861.44 / $4,085.14	Professional		$2,121.25	$2,861.44	$4,085.14
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 $1,377.54 / $2,334.13 / $2,923.21	Professional		$1,377.54	$2,334.13	$2,923.21
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 $1,454.60 / $2,636.46 / $4,696.70	Professional		$1,454.60	$2,636.46	$4,696.70