Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,411.00 / $5,194.00 / $8,031.00	Facility		$2,411.00	$5,194.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.93 / $610.47 / $1,254.02	Professional		$449.93	$610.47	$1,254.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,956.00	Facility		$5,410.00	$6,763.00	$10,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.99 / $832.86 / $1,132.66	Professional		$432.99	$832.86	$1,132.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.00 / $2,534.25 / $2,534.25	Facility		$737.00	$2,534.25	$2,534.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.71 / $848.47 / $1,387.43	Professional		$598.71	$848.47	$1,387.43
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $4,588.00 / $4,682.00	Facility		$3,296.00	$4,588.00	$4,682.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $453.68 / $662.01 / $819.28	Professional		$453.68	$662.01	$819.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $6,647.00 / $9,973.00	Facility		$4,565.00	$6,647.00	$9,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.79 / $789.27 / $1,644.23	Professional		$422.79	$789.27	$1,644.23