Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $4,677.35 / $8,912.51	Facility		$173.78	$4,677.35	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,265.80 / $4,265.80 / $12,882.50	Facility	50	$4,265.80	$4,265.80	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $295.12	Professional		$56.23	$107.15	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $338.84 / $1,071.52	Professional	50	$199.53	$338.84	$1,071.52
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 $66.07 / $125.89 / $181.97	Professional		$66.07	$125.89	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $186.21 / $269.15	Professional	50	$107.15	$186.21	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $549.54 / $1,148.15	Facility		$177.83	$549.54	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $295.12	Professional		$81.28	$147.91	$295.12
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $269.15	Professional		$102.33	$173.78	$269.15
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 $54.95 / $107.15 / $275.42	Professional		$54.95	$107.15	$275.42