Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,862.27 / $3,938.91	Facility		$1,214.63	$1,862.27	$3,938.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.42 / $2,034.51 / $3,640.85	Facility		$1,303.42	$2,034.51	$3,640.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,238.92	Professional		$1,214.63	$1,214.63	$1,238.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,457.56	Professional		$1,238.93	$1,238.93	$1,457.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.17 / $1,214.63 / $1,340.96	Professional		$1,093.17	$1,214.63	$1,340.96