Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.28 / $4,305.00 / $8,031.00	Facility		$151.28	$4,305.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $102.24 / $243.36	Professional		$44.74	$102.24	$243.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $593.49 / $646.98 / $646.98	Professional	50	$593.49	$646.98	$646.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $97.58 / $179.03	Professional		$46.59	$97.58	$179.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.88 / $146.38 / $268.54	Professional	50	$69.88	$146.38	$268.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.26 / $138.26 / $550.00	Facility		$138.26	$138.26	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $149.68 / $245.68	Professional		$80.12	$149.68	$245.68
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.87 / $1,643.00 / $1,677.00	Facility		$1,005.87	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $162.29 / $183.63	Professional		$69.53	$162.29	$183.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,075.00 / $6,664.00	Facility		$1,380.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $134.74 / $245.50	Professional		$61.44	$134.74	$245.50