Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,305.00 / $7,629.00 / $8,031.00	Facility		$4,305.00	$7,629.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,759.66 / $5,689.68 / $10,163.50	Professional		$3,759.66	$5,689.68	$10,163.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,197.59 / $8,873.00 / $11,830.00	Facility		$3,197.59	$8,873.00	$11,830.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,756.54 / $8,120.07 / $10,565.40	Professional		$3,756.54	$8,120.07	$10,565.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.00 / $998.00 / $998.00	Facility		$998.00	$998.00	$998.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,026.73 / $6,025.84 / $12,463.15	Professional		$4,026.73	$6,025.84	$12,463.15
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $626.58 / $886.65 / $1,945.41	Facility		$626.58	$886.65	$1,945.41
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $4,798.79 / $6,141.64 / $8,709.04	Professional		$4,798.79	$6,141.64	$8,709.04
United Facility/Professional Facility Modifier Low / Median / High Price $762.00 / $4,738.00 / $16,193.00	Facility		$762.00	$4,738.00	$16,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,783.06 / $6,620.35 / $15,811.63	Professional		$3,783.06	$6,620.35	$15,811.63