Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.05 / $4,305.00 / $8,031.00	Facility		$340.05	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.00 / $255.04 / $345.83	Facility	54	$251.00	$255.04	$345.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $242.38 / $534.84	Professional		$200.78	$242.38	$534.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,714.00 / $15,501.00	Facility		$5,410.00	$7,714.00	$15,501.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.37 / $430.18 / $583.42	Professional		$206.37	$430.18	$583.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.26 / $353.26 / $550.00	Facility		$353.26	$353.26	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.64 / $390.10 / $604.91	Professional		$273.64	$390.10	$604.91
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,340.80 / $1,643.00 / $1,677.00	Facility		$1,340.80	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $216.21 / $310.54 / $388.91	Professional		$216.21	$310.54	$388.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,075.00 / $6,664.00	Facility		$1,380.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $390.68 / $698.17	Professional		$205.76	$390.68	$698.17