Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.31 / $4,090.00 / $7,629.00	Facility		$239.31	$4,090.00	$7,629.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $141.28 / $164.70 / $206.54	Facility	54	$141.28	$164.70	$206.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $147.86 / $344.13	Professional		$113.84	$147.86	$344.13
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 $115.99 / $232.33 / $321.02	Professional		$115.99	$232.33	$321.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $277.39 / $277.39	Facility		$50.00	$277.39	$277.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $237.58 / $354.17	Professional		$162.50	$237.58	$354.17
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 $127.69 / $194.49 / $252.34	Professional		$127.69	$194.49	$252.34
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 $126.23 / $248.31 / $430.81	Professional		$126.23	$248.31	$430.81