Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,162.28 / $5,248.07	Facility		$501.19	$3,162.28	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $1,659.59 / $5,495.41	Facility	50	$1,659.59	$1,659.59	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $72.44 / $194.98	Professional		$34.67	$72.44	$194.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $154.88 / $331.13	Professional	50	$56.23	$154.88	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $10,471.29	Facility		$2,137.96	$3,162.28	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $138.04	Professional		$45.71	$89.13	$138.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $134.90 / $204.17	Professional	50	$70.79	$134.90	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $549.54	Facility		$77.62	$77.62	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $128.82	Professional		$51.29	$81.28	$128.82
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $229.09	Professional		$66.07	$95.50	$229.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $100.00 / $120.23	Professional		$19.50	$100.00	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,467.37 / $6,760.83	Facility		$1,288.25	$3,467.37	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $125.89	Professional		$35.48	$64.57	$125.89