Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,735.14	Facility		$1,748.25	$1,748.25	$2,735.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.42 / $2,605.58 / $5,318.11	Facility		$830.42	$2,605.58	$5,318.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,713.97	Professional		$1,713.97	$1,713.97	$1,713.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,892.22	Professional		$1,713.97	$1,713.97	$1,892.22