Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,794.89 / $7,629.00 / $8,031.00	Facility		$2,794.89	$7,629.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,691.17 / $2,567.55 / $4,773.03	Professional		$1,691.17	$2,567.55	$4,773.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,114.84 / $9,758.54 / $13,278.94	Facility		$4,114.84	$9,758.54	$13,278.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.97 / $3,982.87 / $4,944.01	Professional		$1,748.97	$3,982.87	$4,944.01
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 $1,841.96 / $2,862.56 / $5,600.49	Professional		$1,841.96	$2,862.56	$5,600.49
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 $2,210.81 / $2,910.01 / $3,885.98	Professional		$2,210.81	$2,910.01	$3,885.98
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 $1,721.66 / $2,986.35 / $7,088.28	Professional		$1,721.66	$2,986.35	$7,088.28