Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.04 / $4,305.00 / $8,031.00	Facility		$537.04	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $366.45 / $402.79 / $530.49	Facility	54	$366.45	$402.79	$530.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $364.16 / $843.18	Professional		$291.82	$364.16	$843.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,483.00 / $24,801.00	Facility		$5,410.00	$7,483.00	$24,801.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.91 / $606.64 / $831.29	Professional		$313.91	$606.64	$831.29
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 $414.37 / $599.79 / $899.69	Professional		$414.37	$599.79	$899.69
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 $329.15 / $498.47 / $624.27	Professional		$329.15	$498.47	$624.27
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 $321.72 / $640.55 / $1,095.88	Professional		$321.72	$640.55	$1,095.88