Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.86 / $4,450.00 / $8,031.00	Facility		$493.86	$4,450.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $277.82 / $578.90	Professional		$86.60	$277.82	$578.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.57 / $7,824.00 / $11,797.00	Facility		$612.57	$7,824.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $301.82 / $803.71	Professional		$103.12	$301.82	$803.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $326.43 / $998.00	Facility		$204.97	$326.43	$998.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $274.35 / $813.73	Professional		$113.93	$274.35	$813.73
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $556.16 / $809.30 / $1,060.24	Facility		$556.16	$809.30	$1,060.24
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $402.46 / $524.22 / $651.86	Professional		$402.46	$524.22	$651.86
United Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $3,075.00 / $6,664.00	Facility		$357.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $555.02 / $1,285.05	Professional		$306.22	$555.02	$1,285.05