Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,293.14 / $5,985.63 / $11,155.60	Facility		$4,293.14	$5,985.63	$11,155.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,991.92	Professional		$4,128.02	$4,128.02	$4,991.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $5,647.96 / $12,054.64	Facility		$200.00	$5,647.96	$12,054.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Facility		$4,128.02	$4,128.02	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $4,283.80 / $4,361.68 / $5,335.27	Professional		$4,283.80	$4,361.68	$5,335.27
United Facility/Professional Professional Modifier Low / Median / High Price $3,921.62 / $4,128.02 / $4,521.64	Professional		$3,921.62	$4,128.02	$4,521.64