Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,398.83 / $5,248.07	Facility		$575.44	$2,398.83	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $588.84 / $1,737.80 / $1,737.80	Facility	50	$588.84	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $204.17	Professional		$37.15	$70.79	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $144.54 / $316.23	Professional	50	$79.43	$144.54	$316.23
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 $47.86 / $93.33 / $144.54	Professional		$47.86	$93.33	$144.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $138.04 / $218.78	Professional	50	$72.44	$138.04	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $489.78 / $549.54	Facility		$79.43	$489.78	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $134.90	Professional		$52.48	$85.11	$134.90
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $263.03	Professional		$67.61	$102.33	$263.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $123.03	Professional		$97.72	$112.20	$123.03
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 $37.15 / $67.61 / $134.90	Professional		$37.15	$67.61	$134.90