Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $3,777.17 / $7,629.00	Facility		$902.00	$3,777.17	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,405.96 / $2,575.53 / $6,756.94	Facility	50	$2,405.96	$2,575.53	$6,756.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $129.71 / $277.97	Professional		$72.68	$129.71	$277.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,998.99 / $5,881.16 / $10,956.00	Facility		$4,998.99	$5,881.16	$10,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $183.14 / $319.19	Professional		$110.68	$183.14	$319.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $181.46 / $362.64	Professional		$113.02	$181.46	$362.64
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $174.59 / $286.20 / $286.20	Professional		$174.59	$286.20	$286.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,414.00 / $5,950.00 / $9,338.00	Facility		$3,414.00	$5,950.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $213.25 / $480.87	Professional		$128.83	$213.25	$480.87