Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.47 / $6,040.31 / $10,492.00	Facility		$1,174.47	$6,040.31	$10,492.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,649.15 / $2,649.15 / $9,175.00	Facility	50	$2,649.15	$2,649.15	$9,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.72 / $955.47 / $2,787.42	Professional		$688.72	$955.47	$2,787.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,070.82 / $3,289.05 / $5,463.86	Professional	50	$1,070.82	$3,289.05	$5,463.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,217.00 / $8,931.00 / $11,908.00	Facility		$8,217.00	$8,931.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $1,072.31 / $1,360.80	Professional		$524.04	$1,072.31	$1,360.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $786.07 / $1,608.47 / $2,041.20	Professional	50	$786.07	$1,608.47	$2,041.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.92 / $877.72 / $1,819.94	Professional		$531.92	$877.72	$1,819.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $527.50 / $873.19 / $1,066.95	Professional		$527.50	$873.19	$1,066.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $7,010.00 / $11,152.00	Facility		$4,565.00	$7,010.00	$11,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.58 / $897.29 / $2,175.57	Professional		$652.58	$897.29	$2,175.57