Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.87 / $4,305.00 / $8,031.00	Facility		$777.87	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $539.39 / $583.40 / $759.42	Facility	54	$539.39	$583.40	$759.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.80 / $531.66 / $1,235.50	Professional		$424.80	$531.66	$1,235.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,483.00 / $11,797.00	Facility		$5,410.00	$7,483.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.44 / $894.14 / $1,235.43	Professional		$454.44	$894.14	$1,235.43
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 $655.21 / $865.01 / $1,296.67	Professional		$655.21	$865.01	$1,296.67
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 $462.94 / $735.75 / $921.43	Professional		$462.94	$735.75	$921.43
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 $466.06 / $958.28 / $1,610.38	Professional		$466.06	$958.28	$1,610.38