Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.02 / $4,305.00 / $8,031.00	Facility		$477.02	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $335.55 / $357.77 / $483.89	Facility	54	$335.55	$357.77	$483.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $324.32 / $770.56	Professional		$269.04	$324.32	$770.56
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 $286.73 / $556.83 / $769.38	Professional		$286.73	$556.83	$769.38
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 $373.04 / $536.32 / $821.26	Professional		$373.04	$536.32	$821.26
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 $298.93 / $449.50 / $562.94	Professional		$298.93	$449.50	$562.94
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 $292.29 / $548.04 / $992.29	Professional		$292.29	$548.04	$992.29