Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.14 / $4,305.00 / $8,031.00	Facility		$191.14	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $835.76 / $835.76 / $835.76	Facility	50	$835.76	$835.76	$835.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $126.57 / $246.64	Professional		$87.43	$126.57	$246.64
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 $100.23 / $170.07 / $226.89	Professional		$100.23	$170.07	$226.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.83 / $255.10 / $340.33	Professional	50	$158.83	$255.10	$340.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.96 / $233.96 / $550.00	Facility		$233.96	$233.96	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $178.92 / $318.44	Professional		$124.95	$178.92	$318.44
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 $126.35 / $141.69 / $182.10	Professional		$126.35	$141.69	$182.10
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 $112.87 / $195.57 / $407.52	Professional		$112.87	$195.57	$407.52