Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.78 / $4,305.00 / $8,031.00	Facility		$712.78	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $530.95 / $534.59 / $704.79	Facility	54	$530.95	$534.59	$704.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.80 / $509.85 / $1,216.02	Professional		$418.80	$509.85	$1,216.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $11,797.00	Facility		$5,410.00	$6,763.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.03 / $880.06 / $1,215.98	Professional		$440.03	$880.06	$1,215.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.26 / $353.26 / $550.00	Facility		$353.26	$353.26	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.16 / $825.60 / $1,206.07	Professional		$641.16	$825.60	$1,206.07
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 $431.51 / $674.16 / $844.30	Professional		$431.51	$674.16	$844.30
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 $431.63 / $863.26 / $1,475.21	Professional		$431.63	$863.26	$1,475.21