Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $4,897.79 / $10,471.29	Facility		$154.88	$4,897.79	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $158.49	Professional		$74.13	$87.10	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,302.69 / $13,803.84	Facility		$7,413.10	$12,302.69	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $169.82 / $218.78	Professional		$74.13	$169.82	$218.78
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 $87.10 / $134.90 / $251.19	Professional		$87.10	$134.90	$251.19
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $151.36	Professional		$95.50	$125.89	$151.36
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 $74.13 / $109.65 / $239.88	Professional		$74.13	$109.65	$239.88