Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,029.07 / $6,607.00 / $10,492.00	Facility		$4,029.07	$6,607.00	$10,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,419.28 / $4,029.07 / $5,639.44	Professional		$2,419.28	$4,029.07	$5,639.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,897.58 / $15,915.00 / $22,259.10	Facility		$6,897.58	$15,915.00	$22,259.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,177.00 / $4,563.67 / $5,414.59	Professional		$2,177.00	$4,563.67	$5,414.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,477.07 / $3,123.53 / $5,818.61	Professional		$2,477.07	$3,123.53	$5,818.61
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $2,992.87 / $3,610.55 / $3,610.55	Professional		$2,992.87	$3,610.55	$3,610.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $6,137.00 / $16,193.00	Facility		$3,275.00	$6,137.00	$16,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,259.92 / $3,444.54 / $6,099.44	Professional		$2,259.92	$3,444.54	$6,099.44