Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $6,508.00 / $9,479.00	Facility		$3,013.00	$6,508.00	$9,479.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,500.00 / $2,500.00 / $3,688.00	Facility	50	$2,500.00	$2,500.00	$3,688.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $640.13 / $3,725.98	Professional		$168.12	$640.13	$3,725.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $333.28 / $333.28 / $333.28	Professional	50	$333.28	$333.28	$333.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,950.00 / $12,905.00 / $17,206.00	Facility		$4,950.00	$12,905.00	$17,206.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.28 / $1,492.78 / $4,856.17	Professional		$206.28	$1,492.78	$4,856.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $309.42 / $2,239.17 / $7,284.26	Professional	50	$309.42	$2,239.17	$7,284.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.49 / $1,694.92 / $4,371.12	Professional		$261.49	$1,694.92	$4,371.12
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $2,641.86 / $2,641.86 / $2,924.08	Professional		$2,641.86	$2,641.86	$2,924.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,325.00 / $8,250.00 / $11,880.00	Facility		$5,325.00	$8,250.00	$11,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,932.24 / $3,106.10 / $5,399.63	Professional		$1,932.24	$3,106.10	$5,399.63