Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,707.00 / $7,629.00 / $10,492.00	Facility		$3,707.00	$7,629.00	$10,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,417.30 / $3,122.57 / $5,025.89	Professional		$2,417.30	$3,122.57	$5,025.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,920.00 / $11,936.00 / $15,915.00	Facility		$9,920.00	$11,936.00	$15,915.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,059.67 / $4,140.82 / $4,912.89	Professional		$2,059.67	$4,140.82	$4,912.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,370.37 / $3,250.90 / $5,254.85	Professional		$2,370.37	$3,250.90	$5,254.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $2,968.90 / $3,257.85 / $3,257.85	Professional		$2,968.90	$3,257.85	$3,257.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,944.00 / $10,417.00 / $16,323.00	Facility		$5,944.00	$10,417.00	$16,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,947.03 / $2,968.01 / $5,544.37	Professional		$1,947.03	$2,968.01	$5,544.37