Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.93 / $4,305.00 / $8,031.00	Facility		$213.93	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,219.64 / $2,219.64 / $2,219.64	Facility	50	$2,219.64	$2,219.64	$2,219.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $122.10 / $299.27	Professional		$56.68	$122.10	$299.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.82 / $715.80 / $737.28	Professional	50	$204.82	$715.80	$737.28
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 $55.99 / $116.86 / $237.29	Professional		$55.99	$116.86	$237.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.98 / $175.29 / $355.94	Professional	50	$83.98	$175.29	$355.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.22 / $193.22 / $550.00	Facility		$193.22	$193.22	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $188.75 / $302.67	Professional		$98.63	$188.75	$302.67
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,340.80 / $1,643.00 / $1,677.00	Facility		$1,340.80	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $185.85 / $216.68	Professional		$93.61	$185.85	$216.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,210.00 / $7,760.00	Facility		$1,157.00	$4,210.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $195.36 / $329.18	Professional		$100.02	$195.36	$329.18