Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.52 / $4,305.00 / $8,031.00	Facility		$482.52	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $324.33 / $361.89 / $484.78	Facility	54	$324.33	$361.89	$484.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.92 / $342.98 / $763.94	Professional		$270.92	$342.98	$763.94
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 $275.67 / $534.11 / $734.00	Professional		$275.67	$534.11	$734.00
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 $377.99 / $535.49 / $820.50	Professional		$377.99	$535.49	$820.50
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 $300.20 / $445.43 / $557.84	Professional		$300.20	$445.43	$557.84
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 $293.02 / $572.61 / $1,001.19	Professional		$293.02	$572.61	$1,001.19