Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,874.33 / $7,298.29 / $13,097.40	Facility		$4,874.33	$7,298.29	$13,097.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,874.33 / $4,874.33 / $4,874.33	Professional		$4,874.33	$4,874.33	$4,874.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,424.06 / $7,124.95 / $14,048.83	Facility		$4,424.06	$7,124.95	$14,048.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Facility		$4,686.85	$4,686.85	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $4,863.72 / $5,084.79 / $5,862.99	Professional		$4,863.72	$5,084.79	$5,862.99
United Facility/Professional Professional Modifier Low / Median / High Price $4,218.17 / $4,686.85 / $6,478.61	Professional		$4,218.17	$4,686.85	$6,478.61