Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,180.75 / $7,360.00 / $10,492.00	Facility		$4,180.75	$7,360.00	$10,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,505.23 / $3,414.14 / $7,848.25	Professional		$2,505.23	$3,414.14	$7,848.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $8,329.50 / $25,488.42	Facility		$5,410.00	$8,329.50	$25,488.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,920.71 / $5,644.43 / $7,535.80	Professional		$2,920.71	$5,644.43	$7,535.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $843.00 / $843.00	Facility		$843.00	$843.00	$843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,926.25 / $5,447.33 / $8,305.79	Professional		$3,926.25	$5,447.33	$8,305.79
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $4,302.00 / $4,390.00 / $4,645.51	Facility		$4,302.00	$4,390.00	$4,645.51
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $2,811.48 / $4,145.56 / $5,304.92	Professional		$2,811.48	$4,145.56	$5,304.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $8,468.00 / $13,943.00	Facility		$4,644.00	$8,468.00	$13,943.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,916.53 / $5,468.49 / $10,118.25	Professional		$2,916.53	$5,468.49	$10,118.25