Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $229.09 / $676.08	Facility		$120.23	$229.09	$676.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $134.90 / $562.34 / $912.01	Facility	50	$134.90	$562.34	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $77.62 / $173.78	Professional		$25.12	$77.62	$173.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $177.83 / $281.84	Professional	50	$42.66	$177.83	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $11,748.98	Facility		$2,137.96	$3,162.28	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $128.82	Professional		$21.88	$31.62	$128.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $45.71 / $151.36	Professional	50	$33.11	$45.71	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $851.14	Facility		$50.12	$50.12	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $93.33 / $218.78	Professional		$30.20	$93.33	$218.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $173.78	Professional		$85.11	$134.90	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,467.37 / $6,760.83	Facility		$1,288.25	$3,467.37	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $75.86 / $199.53	Professional		$27.54	$75.86	$199.53