Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.06 / $4,884.27 / $8,031.00	Facility		$693.06	$4,884.27	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $475.38 / $519.79 / $689.10	Facility	54	$475.38	$519.79	$689.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.94 / $489.73 / $1,109.13	Professional		$399.94	$489.73	$1,109.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,646.00 / $8,376.00 / $19,847.00	Facility		$5,646.00	$8,376.00	$19,847.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.58 / $770.95 / $1,054.98	Professional		$425.58	$770.95	$1,054.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.00 / $2,296.86 / $2,296.86	Facility		$737.00	$2,296.86	$2,296.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.64 / $772.24 / $1,163.94	Professional		$589.64	$772.24	$1,163.94
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $4,588.00 / $4,682.00	Facility		$3,296.00	$4,588.00	$4,682.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $421.69 / $659.89 / $826.42	Professional		$421.69	$659.89	$826.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $6,647.00 / $9,973.00	Facility		$4,565.00	$6,647.00	$9,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.72 / $817.80 / $1,368.66	Professional		$414.72	$817.80	$1,368.66