Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.64 / $4,305.00 / $8,031.00	Facility		$786.64	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $554.44 / $589.98 / $764.70	Facility	54	$554.44	$589.98	$764.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.40 / $553.11 / $1,297.76	Professional		$458.40	$553.11	$1,297.76
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 $457.63 / $922.94 / $1,275.22	Professional		$457.63	$922.94	$1,275.22
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 $682.33 / $891.71 / $1,307.88	Professional		$682.33	$891.71	$1,307.88
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 $467.93 / $745.31 / $933.41	Professional		$467.93	$745.31	$933.41
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 $469.22 / $964.34 / $1,533.04	Professional		$469.22	$964.34	$1,533.04