Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.61 / $4,246.00 / $8,031.00	Facility		$501.61	$4,246.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $337.44 / $376.21 / $494.28	Facility	54	$337.44	$376.21	$494.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.30 / $339.88 / $760.94	Professional		$263.30	$339.88	$760.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,714.00 / $14,186.00	Facility		$5,410.00	$7,714.00	$14,186.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.62 / $558.75 / $772.03	Professional		$286.62	$558.75	$772.03
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 $393.55 / $552.21 / $834.71	Professional		$393.55	$552.21	$834.71
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 $304.81 / $470.19 / $588.85	Professional		$304.81	$470.19	$588.85
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 $297.41 / $592.85 / $1,019.96	Professional		$297.41	$592.85	$1,019.96