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 / $2,500.00	Facility	50	$2,500.00	$2,500.00	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.53 / $763.12 / $4,647.96	Professional		$200.53	$763.12	$4,647.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $399.13 / $399.13 / $399.13	Professional	50	$399.13	$399.13	$399.13
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 $240.49 / $1,514.95 / $4,921.93	Professional		$240.49	$1,514.95	$4,921.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $351.30 / $2,272.42 / $7,382.92	Professional	50	$351.30	$2,272.42	$7,382.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.35 / $1,718.92 / $7,666.64	Professional		$300.35	$1,718.92	$7,666.64
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $2,685.75 / $2,685.75 / $5,478.06	Professional		$2,685.75	$2,685.75	$5,478.06
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 $1,958.58 / $3,547.19 / $7,833.85	Professional		$1,958.58	$3,547.19	$7,833.85