Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.86 / $4,305.00 / $8,031.00	Facility		$456.86	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.77 / $342.65 / $449.35	Facility	54	$314.77	$342.65	$449.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $320.19 / $721.20	Professional		$252.78	$320.19	$721.20
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 $266.61 / $520.35 / $718.97	Professional		$266.61	$520.35	$718.97
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 $350.25 / $511.22 / $765.28	Professional		$350.25	$511.22	$765.28
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 $278.56 / $428.88 / $537.12	Professional		$278.56	$428.88	$537.12
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 $274.16 / $514.04 / $944.79	Professional		$274.16	$514.04	$944.79