Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.54 / $4,722.42 / $8,031.00	Facility		$87.54	$4,722.42	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $82.29 / $195.94	Professional		$47.75	$82.29	$195.94
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.04 / $53.86 / $75.33	Professional	52	$33.04	$53.86	$75.33
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $13.22 / $21.54 / $30.13	Professional	53	$13.22	$21.54	$30.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $11,797.00	Facility		$5,410.00	$6,763.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $113.79 / $187.59	Professional		$58.91	$113.79	$187.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $111.50 / $178.36	Professional		$74.90	$111.50	$178.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $123.97 / $123.97	Professional		$120.09	$123.97	$123.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $112.20 / $200.64	Professional		$74.56	$112.20	$200.64