Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.03 / $4,305.00 / $8,031.00	Facility		$352.03	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,100.00 / $2,100.00 / $2,100.00	Facility	50	$2,100.00	$2,100.00	$2,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $200.88 / $352.03	Professional		$77.04	$200.88	$352.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $129.77 / $129.77 / $129.77	Professional	50	$129.77	$129.77	$129.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,824.00 / $8,848.00 / $11,797.00	Facility		$7,824.00	$8,848.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $169.00 / $237.72	Professional		$84.62	$169.00	$237.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $126.93 / $250.83 / $348.37	Professional	50	$126.93	$250.83	$348.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $1,018.57 / $1,018.57	Facility		$843.00	$1,018.57	$1,018.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $219.50 / $506.54	Professional		$129.44	$219.50	$506.54
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 $187.19 / $228.69 / $433.66	Professional		$187.19	$228.69	$433.66
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 $190.64 / $357.45 / $656.89	Professional		$190.64	$357.45	$656.89