Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.90 / $4,884.27 / $8,031.00	Facility		$714.90	$4,884.27	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $508.94 / $1,134.49	Professional		$407.74	$508.94	$1,134.49
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 $414.90 / $806.50 / $1,106.31	Professional		$414.90	$806.50	$1,106.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.00 / $2,296.86 / $2,296.86	Facility		$737.00	$2,296.86	$2,296.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.12 / $792.54 / $1,211.74	Professional		$579.12	$792.54	$1,211.74
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 $443.89 / $653.07 / $817.89	Professional		$443.89	$653.07	$817.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,210.00 / $7,760.00	Facility		$1,157.00	$4,210.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.09 / $848.61 / $1,482.41	Professional		$426.09	$848.61	$1,482.41