Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.86 / $4,305.00 / $8,031.00	Facility		$296.86	$4,305.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $173.53 / $440.93	Professional		$102.06	$173.53	$440.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,032.15 / $1,032.15 / $1,032.15	Professional	50	$1,032.15	$1,032.15	$1,032.15
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 $112.48 / $189.75 / $268.23	Professional		$112.48	$189.75	$268.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $167.87 / $284.62 / $402.35	Professional	50	$167.87	$284.62	$402.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $235.74 / $843.00	Facility		$50.00	$235.74	$843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.86 / $281.24 / $426.86	Professional		$171.86	$281.24	$426.86
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,346.67 / $2,346.67 / $2,469.56	Facility		$2,346.67	$2,346.67	$2,469.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $204.12 / $321.80	Professional		$138.03	$204.12	$321.80
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 $149.35 / $280.85 / $483.44	Professional		$149.35	$280.85	$483.44