Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.21 / $4,291.56 / $8,031.00	Facility		$207.21	$4,291.56	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $122.70 / $249.30	Professional		$64.40	$122.70	$249.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
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 $76.83 / $127.56 / $167.28	Professional		$76.83	$127.56	$167.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.16 / $191.34 / $250.92	Professional	50	$119.16	$191.34	$250.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,309.52 / $1,309.52	Facility		$550.00	$1,309.52	$1,309.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $190.90 / $339.56	Professional		$105.84	$190.90	$339.56
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 $123.39 / $198.50 / $256.75	Professional		$123.39	$198.50	$256.75
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 $123.91 / $238.38 / $418.68	Professional		$123.91	$238.38	$418.68