Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.26 / $4,305.00 / $8,031.00	Facility		$409.26	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $281.51 / $306.95 / $416.80	Facility	54	$281.51	$306.95	$416.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $277.12 / $637.83	Professional		$221.28	$277.12	$637.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,483.00 / $19,160.00	Facility		$5,410.00	$7,483.00	$19,160.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.29 / $469.38 / $636.59	Professional		$246.29	$469.38	$636.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $353.26 / $353.26	Facility		$50.00	$353.26	$353.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.04 / $456.40 / $708.43	Professional		$309.04	$456.40	$708.43
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 $260.07 / $374.86 / $469.46	Professional		$260.07	$374.86	$469.46
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 $249.86 / $488.27 / $850.33	Professional		$249.86	$488.27	$850.33