Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.91 / $4,305.00 / $8,031.00	Facility		$746.91	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $505.67 / $560.17 / $735.53	Facility	54	$505.67	$560.17	$735.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $509.23 / $1,249.93	Professional		$413.35	$509.23	$1,249.93
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 $419.32 / $816.24 / $1,121.11	Professional		$419.32	$816.24	$1,121.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,296.86 / $2,296.86	Facility		$550.00	$2,296.86	$2,296.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.22 / $824.55 / $1,246.13	Professional		$625.22	$824.55	$1,246.13
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 $452.39 / $708.89 / $887.80	Professional		$452.39	$708.89	$887.80
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 $447.16 / $919.01 / $1,539.67	Professional		$447.16	$919.01	$1,539.67