Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,025.60 / $10,964.78	Facility		$3,890.45	$6,025.60	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $4,677.35	Professional		$1,548.82	$1,819.70	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $15,135.61 / $16,595.87	Facility		$8,317.64	$15,135.61	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,311.31 / $4,677.35	Professional		$1,621.81	$3,311.31	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $4,677.35	Professional		$2,041.74	$3,090.30	$4,677.35
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $3,162.28	Professional		$1,548.82	$2,454.71	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $16,218.10	Facility		$4,677.35	$10,232.93	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,677.35	Professional		$1,548.82	$2,511.89	$4,677.35