Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $7,080.00 / $9,479.00	Facility		$3,013.00	$7,080.00	$9,479.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.96 / $820.86 / $1,291.20	Professional		$562.96	$820.86	$1,291.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,217.00 / $10,956.00 / $15,054.00	Facility		$8,217.00	$10,956.00	$15,054.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.30 / $1,143.34 / $1,356.53	Professional		$573.30	$1,143.34	$1,356.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.75 / $866.61 / $1,644.07	Professional		$684.75	$866.61	$1,644.07
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $843.34 / $1,024.58 / $1,024.58	Professional		$843.34	$1,024.58	$1,024.58
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 $617.48 / $846.46 / $1,737.02	Professional		$617.48	$846.46	$1,737.02