Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.16 / $4,450.00 / $8,031.00	Facility		$703.16	$4,450.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.17 / $540.77 / $1,024.26	Professional		$349.17	$540.77	$1,024.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $6,273.00 / $10,956.00	Facility		$4,734.00	$6,273.00	$10,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.01 / $796.12 / $1,181.38	Professional		$395.01	$796.12	$1,181.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,105.70 / $3,575.62	Facility		$767.00	$3,105.70	$3,575.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.65 / $670.31 / $1,252.30	Professional		$419.65	$670.31	$1,252.30
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $549.19 / $886.65 / $1,552.85	Facility		$549.19	$886.65	$1,552.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $648.13 / $824.36 / $1,093.98	Professional		$648.13	$824.36	$1,093.98
United Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $5,307.00 / $8,879.00	Facility		$911.00	$5,307.00	$8,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.86 / $812.11 / $2,104.03	Professional		$455.86	$812.11	$2,104.03