Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.30 / $5,194.00 / $10,492.00	Facility		$2,144.30	$5,194.00	$10,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.91 / $1,519.91 / $3,296.78	Professional		$1,141.91	$1,519.91	$3,296.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,098.00 / $19,753.83 / $26,880.01	Facility		$12,098.00	$19,753.83	$26,880.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,306.78 / $2,204.56 / $3,413.35	Professional		$1,306.78	$2,204.56	$3,413.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $15,639.00 / $15,639.00	Facility		$2,212.00	$15,639.00	$15,639.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,660.58 / $2,237.46 / $3,513.00	Professional		$1,660.58	$2,237.46	$3,513.00
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,793.61 / $6,165.00 / $6,291.00	Facility		$2,793.61	$6,165.00	$6,291.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,074.77 / $1,577.12 / $2,238.69	Professional		$1,074.77	$1,577.12	$2,238.69
United Facility/Professional Facility Modifier Low / Median / High Price $8,838.00 / $14,587.00 / $21,600.00	Facility		$8,838.00	$14,587.00	$21,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.93 / $1,896.94 / $3,653.27	Professional		$1,109.93	$1,896.94	$3,653.27