Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $4,908.03 / $8,031.00	Facility		$902.00	$4,908.03	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,979.26 / $3,979.26 / $3,979.26	Facility	50	$3,979.26	$3,979.26	$3,979.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.55 / $751.33 / $1,110.83	Professional		$363.55	$751.33	$1,110.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.35 / $5,125.66 / $9,678.00	Facility		$3,939.35	$5,125.66	$9,678.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.38 / $683.63 / $1,486.88	Professional		$345.38	$683.63	$1,486.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.64 / $710.24 / $2,652.74	Professional		$374.64	$710.24	$2,652.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $942.63 / $961.26 / $961.26	Professional		$942.63	$961.26	$961.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $7,010.00 / $11,152.00	Facility		$4,565.00	$7,010.00	$11,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.82 / $1,137.28 / $1,876.80	Professional		$617.82	$1,137.28	$1,876.80