Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.45 / $4,305.00 / $8,031.00	Facility		$355.45	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $236.30 / $266.58 / $351.89	Facility	54	$236.30	$266.58	$351.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.36 / $248.75 / $572.25	Professional		$187.36	$248.75	$572.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,786.00 / $8,848.00 / $29,890.00	Facility		$5,786.00	$8,848.00	$29,890.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.03 / $389.78 / $538.55	Professional		$196.03	$389.78	$538.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $353.26 / $353.26	Facility		$50.00	$353.26	$353.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.10 / $398.09 / $595.51	Professional		$279.10	$398.09	$595.51
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 $215.30 / $331.99 / $415.78	Professional		$215.30	$331.99	$415.78
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 $214.54 / $402.27 / $692.65	Professional		$214.54	$402.27	$692.65