Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.21 / $4,305.00 / $8,031.00	Facility		$403.21	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $287.87 / $302.41 / $396.56	Facility	54	$287.87	$302.41	$396.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $282.23 / $674.84	Professional		$231.18	$282.23	$674.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,824.00 / $24,801.00	Facility		$5,410.00	$7,824.00	$24,801.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $475.55 / $657.06	Professional		$244.20	$475.55	$657.06
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 $324.85 / $454.24 / $679.97	Professional		$324.85	$454.24	$679.97
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 $247.15 / $377.66 / $472.97	Professional		$247.15	$377.66	$472.97
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 $241.30 / $470.54 / $784.20	Professional		$241.30	$470.54	$784.20