Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.43 / $7,360.00 / $10,260.00	Facility		$958.43	$7,360.00	$10,260.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $148.24 / $169.83 / $479.22	Facility	52	$148.24	$169.83	$479.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $557.45 / $1,288.57	Professional		$171.50	$557.45	$1,288.57
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $148.24 / $305.32 / $671.27	Professional	52	$148.24	$305.32	$671.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,873.00 / $10,234.00 / $12,904.00	Facility		$8,873.00	$10,234.00	$12,904.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.73 / $525.25 / $1,402.05	Professional		$268.73	$525.25	$1,402.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.24 / $523.41 / $1,485.06	Professional		$287.24	$523.41	$1,485.06
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $837.21 / $837.21 / $950.58	Professional		$837.21	$837.21	$950.58
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 $645.64 / $1,214.75 / $2,184.40	Professional		$645.64	$1,214.75	$2,184.40