Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $3,359.11	Facility		$2,147.08	$2,147.08	$3,359.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $799.68 / $3,199.99 / $6,531.33	Facility		$799.68	$3,199.99	$6,531.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,104.98	Professional		$2,104.98	$2,104.98	$2,104.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,323.90	Professional		$2,104.98	$2,104.98	$2,323.90