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 / $24,161.23	Facility		$4,090.00	$8,031.00	$24,161.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.26 / $2,179.65 / $5,058.43	Professional		$1,751.26	$2,179.65	$5,058.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,192.00 / $28,970.00 / $65,614.64	Facility		$10,192.00	$28,970.00	$65,614.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,804.24 / $3,679.20 / $5,083.55	Professional		$1,804.24	$3,679.20	$5,083.55
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 $2,563.53 / $3,484.13 / $5,008.74	Professional		$2,563.53	$3,484.13	$5,008.74
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $5,363.21 / $6,595.00 / $6,730.00	Facility		$5,363.21	$6,595.00	$6,730.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,745.26 / $2,714.89 / $3,495.15	Professional		$1,745.26	$2,714.89	$3,495.15
United Facility/Professional Facility Modifier Low / Median / High Price $8,838.00 / $14,587.00 / $21,600.00	Facility		$8,838.00	$14,587.00	$21,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,744.14 / $3,401.08 / $5,934.12	Professional		$1,744.14	$3,401.08	$5,934.12