Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.90 / $4,305.00 / $8,031.00	Facility		$579.90	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $432.50 / $434.93 / $565.90	Facility	54	$432.50	$434.93	$565.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $412.00 / $978.60	Professional		$341.43	$412.00	$978.60
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 $354.18 / $722.60 / $998.42	Professional		$354.18	$722.60	$998.42
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 $532.03 / $674.96 / $979.82	Professional		$532.03	$674.96	$979.82
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 $347.31 / $546.97 / $685.01	Professional		$347.31	$546.97	$685.01
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 $347.36 / $657.26 / $1,136.65	Professional		$347.36	$657.26	$1,136.65