Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,548.13 / $7,079.46	Facility		$407.38	$3,548.13	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility	50	$4,168.69	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $331.13	Professional		$64.57	$138.04	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $776.25 / $1,230.27	Professional	50	$338.84	$776.25	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $10,471.29	Facility		$2,137.96	$3,162.28	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $218.78	Professional		$83.18	$141.25	$218.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $213.80 / $302.00	Professional	50	$134.90	$213.80	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $1,148.15	Facility		$275.42	$549.54	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $371.54	Professional		$93.33	$190.55	$371.54
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $354.81	Professional		$177.83	$229.09	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,466.84 / $9,332.54	Facility		$1,819.70	$4,466.84	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $141.25 / $346.74	Professional		$56.23	$141.25	$346.74