Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,562.11 / $3,419.46	Facility		$1,040.08	$1,562.11	$3,419.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.12 / $1,550.15 / $3,056.55	Facility		$426.12	$1,550.15	$3,056.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,040.08	Professional		$1,019.70	$1,019.70	$1,040.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $427.25 / $492.23 / $1,040.08	Professional		$427.25	$492.23	$1,040.08
United Facility/Professional Professional Modifier Low / Median / High Price $917.73 / $1,019.70 / $1,125.75	Professional		$917.73	$1,019.70	$1,125.75