Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.36 / $4,280.34 / $8,031.00	Facility		$503.36	$4,280.34	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $281.95 / $311.83 / $425.01	Facility	54	$281.95	$311.83	$425.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.32 / $281.27 / $676.37	Professional		$222.32	$281.27	$676.37
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 $251.43 / $471.83 / $639.91	Professional		$251.43	$471.83	$639.91
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 $301.93 / $468.11 / $722.43	Professional		$301.93	$468.11	$722.43
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 $265.05 / $381.11 / $477.28	Professional		$265.05	$381.11	$477.28
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 $255.35 / $478.79 / $866.02	Professional		$255.35	$478.79	$866.02