Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $10,471.29	Facility		$2,398.83	$4,897.79	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,511.89	Professional		$1,122.02	$1,348.96	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,748.98 / $13,803.84	Facility		$6,760.83	$11,748.98	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $3,162.28	Professional		$1,096.48	$2,290.87	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $3,890.45	Professional		$1,071.52	$1,819.70	$3,890.45
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,454.71	Professional		$1,445.44	$1,905.46	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,786.30 / $10,000.00	Facility		$758.58	$4,786.30	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,630.78	Professional		$1,071.52	$1,548.82	$3,630.78