Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.71 / $886.71 / $886.71	Facility		$886.71	$886.71	$886.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.94 / $886.71 / $1,082.04	Professional		$793.94	$886.71	$1,082.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,413.90 / $1,824.39 / $2,087.28	Facility		$1,413.90	$1,824.39	$2,087.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.58 / $1,114.58 / $1,164.22	Professional		$1,114.58	$1,114.58	$1,164.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $1,573.58	Facility		$1,573.58	$1,573.58	$1,573.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,148.71 / $1,573.58	Professional		$1,148.71	$1,148.71	$1,573.58
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,185.84 / $1,185.84 / $1,185.84	Facility		$1,185.84	$1,185.84	$1,185.84
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,185.84 / $1,185.84 / $1,678.44	Professional		$1,185.84	$1,185.84	$1,678.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $694.59 / $910.17 / $1,371.34	Professional		$694.59	$910.17	$1,371.34