Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.76 / $4,280.34 / $8,031.00	Facility		$241.76	$4,280.34	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,718.00 / $1,718.00 / $4,880.17	Facility	50	$1,718.00	$1,718.00	$4,880.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $138.71 / $279.10	Professional		$75.81	$138.71	$279.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $294.00 / $294.00 / $294.00	Professional	50	$294.00	$294.00	$294.00
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 $79.18 / $144.00 / $221.08	Professional		$79.18	$144.00	$221.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $118.77 / $212.71 / $331.62	Professional	50	$118.77	$212.71	$331.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $843.00 / $1,018.57	Facility		$50.00	$843.00	$1,018.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $209.50 / $360.89	Professional		$123.32	$209.50	$360.89
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 $112.63 / $159.52 / $257.52	Professional		$112.63	$159.52	$257.52
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 $116.18 / $225.04 / $392.12	Professional		$116.18	$225.04	$392.12