Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.61 / $4,305.00 / $8,031.00	Facility		$509.61	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $343.04 / $382.21 / $516.40	Facility	54	$343.04	$382.21	$516.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.37 / $345.15 / $836.75	Professional		$269.37	$345.15	$836.75
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 $304.08 / $570.47 / $779.98	Professional		$304.08	$570.47	$779.98
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 $395.74 / $569.45 / $875.16	Professional		$395.74	$569.45	$875.16
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 $319.91 / $475.69 / $595.75	Professional		$319.91	$475.69	$595.75
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 $305.29 / $551.89 / $1,058.23	Professional		$305.29	$551.89	$1,058.23