Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,943.00 / $7,629.00 / $13,387.00	Facility		$3,943.00	$7,629.00	$13,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.16 / $1,072.32 / $2,618.01	Professional		$917.16	$1,072.32	$2,618.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,098.00 / $16,131.00 / $35,000.00	Facility		$12,098.00	$16,131.00	$35,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $928.66 / $1,949.08 / $2,693.05	Professional		$928.66	$1,949.08	$2,693.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $9,619.46 / $9,619.46	Facility		$1,185.00	$9,619.46	$9,619.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.33 / $1,858.87 / $2,616.83	Professional		$1,388.33	$1,858.87	$2,616.83
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $4,330.14 / $4,873.00 / $4,974.00	Facility		$4,330.14	$4,873.00	$4,974.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $899.16 / $1,498.52 / $1,876.70	Professional		$899.16	$1,498.52	$1,876.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $8,468.00 / $13,943.00	Facility		$4,644.00	$8,468.00	$13,943.00
United Facility/Professional Professional Modifier Low / Median / High Price $922.12 / $1,760.08 / $3,023.29	Professional		$922.12	$1,760.08	$3,023.29