Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.97 / $4,419.35 / $8,031.00	Facility		$627.97	$4,419.35	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $357.29 / $390.01 / $510.29	Facility	54	$357.29	$390.01	$510.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.25 / $352.85 / $874.62	Professional		$286.25	$352.85	$874.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,824.00 / $17,420.00	Facility		$5,410.00	$7,824.00	$17,420.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.41 / $587.52 / $811.77	Professional		$322.41	$587.52	$811.77
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 $425.79 / $581.27 / $864.61	Professional		$425.79	$581.27	$864.61
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 $314.69 / $487.21 / $610.16	Professional		$314.69	$487.21	$610.16
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 $309.93 / $581.12 / $1,056.16	Professional		$309.93	$581.12	$1,056.16