Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,543.60 / $5,194.00 / $10,492.00	Facility		$3,543.60	$5,194.00	$10,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,845.95 / $2,538.21 / $5,468.00	Professional		$1,845.95	$2,538.21	$5,468.00
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 $1,904.99 / $3,668.56 / $5,068.85	Professional		$1,904.99	$3,668.56	$5,068.85
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 $2,847.95 / $3,635.36 / $5,783.01	Professional		$2,847.95	$3,635.36	$5,783.01
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,346.67 / $2,466.00 / $2,518.00	Facility		$2,346.67	$2,466.00	$2,518.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,841.94 / $2,750.32 / $3,660.64	Professional		$1,841.94	$2,750.32	$3,660.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,242.00 / $4,647.00 / $9,973.00	Facility		$1,242.00	$4,647.00	$9,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,850.05 / $3,161.85 / $6,265.49	Professional		$1,850.05	$3,161.85	$6,265.49