Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.86 / $4,305.00 / $8,031.00	Facility		$540.86	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.31 / $344.40 / $454.38	Facility	54	$313.31	$344.40	$454.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $333.43 / $733.87	Professional		$261.02	$333.43	$733.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,824.00 / $16,185.00	Facility		$5,410.00	$7,824.00	$16,185.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.66 / $517.54 / $713.66	Professional		$268.66	$517.54	$713.66
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 $352.36 / $517.22 / $767.97	Professional		$352.36	$517.22	$767.97
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 $281.30 / $427.07 / $534.84	Professional		$281.30	$427.07	$534.84
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 $275.62 / $528.96 / $873.37	Professional		$275.62	$528.96	$873.37