Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,612.15 / $8,031.00 / $15,171.00	Facility		$1,612.15	$8,031.00	$15,171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.05 / $876.59 / $2,116.42	Professional		$743.05	$876.59	$2,116.42
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 $754.79 / $1,595.80 / $2,204.92	Professional		$754.79	$1,595.80	$2,204.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $10,158.16 / $10,158.16	Facility		$1,644.00	$10,158.16	$10,158.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.40 / $1,520.82 / $2,142.37	Professional		$1,118.40	$1,520.82	$2,142.37
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 $729.07 / $1,207.21 / $1,517.20	Professional		$729.07	$1,207.21	$1,517.20
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 $754.42 / $1,414.55 / $2,482.48	Professional		$754.42	$1,414.55	$2,482.48