Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.01 / $4,291.56 / $7,629.00	Facility		$305.01	$4,291.56	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,873.51 / $1,943.00 / $3,436.00	Facility	50	$1,873.51	$1,943.00	$3,436.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $174.87 / $378.49	Professional		$72.40	$174.87	$378.49
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 $84.77 / $154.16 / $199.22	Professional		$84.77	$154.16	$199.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.60 / $231.25 / $294.26	Professional	50	$131.60	$231.25	$294.26
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 $116.32 / $215.68 / $524.94	Professional		$116.32	$215.68	$524.94
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 $193.72 / $284.44 / $358.04	Professional		$193.72	$284.44	$358.04
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 $192.35 / $360.66 / $683.95	Professional		$192.35	$360.66	$683.95