Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.96 / $4,305.00 / $8,031.00	Facility		$469.96	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $342.38 / $352.47 / $467.27	Facility	54	$342.38	$352.47	$467.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $331.61 / $785.34	Professional		$266.35	$331.61	$785.34
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 $293.88 / $562.05 / $776.59	Professional		$293.88	$562.05	$776.59
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 $387.89 / $541.51 / $791.30	Professional		$387.89	$541.51	$791.30
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 $284.94 / $438.80 / $553.12	Professional		$284.94	$438.80	$553.12
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 $284.38 / $554.54 / $969.45	Professional		$284.38	$554.54	$969.45