Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $2,925.61	Facility		$1,870.00	$1,870.00	$2,925.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,782.00 / $1,870.00 / $1,870.00	Professional		$1,782.00	$1,870.00	$1,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,402.50 / $1,870.00 / $2,090.00	Professional		$1,402.50	$1,870.00	$2,090.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,090.00 / $2,200.00 / $2,333.76	Professional		$2,090.00	$2,200.00	$2,333.76