Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.04 / $4,280.34 / $8,031.00	Facility		$574.04	$4,280.34	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $430.53 / $472.13 / $620.91	Facility	54	$430.53	$472.13	$620.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.99 / $448.80 / $1,058.08	Professional		$360.99	$448.80	$1,058.08
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 $395.11 / $721.19 / $996.47	Professional		$395.11	$721.19	$996.47
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 $533.44 / $702.32 / $1,055.48	Professional		$533.44	$702.32	$1,055.48
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 $381.60 / $601.17 / $752.90	Professional		$381.60	$601.17	$752.90
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 $380.63 / $713.69 / $1,300.54	Professional		$380.63	$713.69	$1,300.54