Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $6,718.21	Facility		$4,294.16	$4,294.16	$6,718.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,736.21 / $7,051.68 / $13,062.66	Facility		$4,736.21	$7,051.68	$13,062.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $4,209.96	Professional		$4,209.96	$4,209.96	$4,209.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
United Facility/Professional Professional Modifier Low / Median / High Price $4,003.67 / $4,209.96 / $4,647.79	Professional		$4,003.67	$4,209.96	$4,647.79