Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.65 / $4,908.03 / $10,492.00	Facility		$200.65	$4,908.03	$10,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $261.48 / $426.84	Professional		$165.06	$261.48	$426.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $321.70 / $528.82	Professional		$161.19	$321.70	$528.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $255.18 / $504.71	Professional		$174.67	$255.18	$504.71
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $286.89 / $341.61 / $341.61	Professional		$286.89	$341.61	$341.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,849.00 / $4,647.00 / $9,338.00	Facility		$1,849.00	$4,647.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.58 / $366.30 / $786.38	Professional		$193.58	$366.30	$786.38