Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.06 / $4,228.00 / $8,031.00	Facility		$221.06	$4,228.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,200.00 / $4,200.00 / $4,200.00	Facility	50	$4,200.00	$4,200.00	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $120.00 / $267.82	Professional		$63.13	$120.00	$267.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.67 / $342.67 / $768.00	Professional	50	$342.67	$342.67	$768.00
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 $65.20 / $132.06 / $184.75	Professional		$65.20	$132.06	$184.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.80 / $197.20 / $277.13	Professional	50	$97.80	$197.20	$277.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.39 / $277.39 / $550.00	Facility		$277.39	$277.39	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $210.63 / $373.00	Professional		$100.12	$210.63	$373.00
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 $133.69 / $195.19 / $241.56	Professional		$133.69	$195.19	$241.56
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 $116.40 / $235.68 / $461.36	Professional		$116.40	$235.68	$461.36