Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.06 / $797.06 / $1,047.58	Facility		$797.06	$797.06	$1,047.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.53 / $797.06 / $797.06	Professional		$788.53	$797.06	$797.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $946.40 / $1,081.59 / $1,352.00	Facility		$946.40	$1,081.59	$1,352.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,000.00 / $1,725.00	Professional		$750.00	$1,000.00	$1,725.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $668.33 / $1,217.58 / $4,106.59	Facility		$668.33	$1,217.58	$4,106.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.86 / $1,284.85 / $1,693.30	Professional		$595.86	$1,284.85	$1,693.30
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,415.24 / $1,415.24 / $2,203.16	Professional		$1,415.24	$1,415.24	$2,203.16
United Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $893.44 / $2,300.87	Professional		$443.31	$893.44	$2,300.87