Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.82 / $4,228.00 / $8,031.00	Facility		$559.82	$4,228.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $386.77 / $427.55 / $561.17	Facility	54	$386.77	$427.55	$561.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $398.63 / $945.34	Professional		$311.01	$398.63	$945.34
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 $344.88 / $635.84 / $862.35	Professional		$344.88	$635.84	$862.35
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 $454.01 / $634.10 / $949.77	Professional		$454.01	$634.10	$949.77
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 $347.12 / $533.72 / $668.43	Professional		$347.12	$533.72	$668.43
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 $340.93 / $664.81 / $1,162.28	Professional		$340.93	$664.81	$1,162.28