Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.76 / $4,280.34 / $8,031.00	Facility		$183.76	$4,280.34	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $120.87 / $230.14	Professional		$57.72	$120.87	$230.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $144.25	Professional	50	$144.25	$144.25	$144.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $5,786.00 / $7,714.00	Facility		$4,734.00	$5,786.00	$7,714.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $111.03 / $173.32	Professional		$62.37	$111.03	$173.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.55 / $166.55 / $259.98	Professional	50	$93.55	$166.55	$259.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $171.50 / $300.36	Professional		$104.47	$171.50	$300.36
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.87 / $1,643.00 / $1,677.00	Facility		$1,005.87	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $185.92 / $240.90	Professional		$114.47	$185.92	$240.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,075.00 / $6,664.00	Facility		$1,380.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $211.94 / $384.58	Professional		$113.03	$211.94	$384.58