Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $3,715.35 / $7,079.46	Facility		$169.82	$3,715.35	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $281.84	Professional		$51.29	$112.20	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $263.03 / $676.08	Professional	50	$173.78	$263.03	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $11,748.98	Facility		$2,137.96	$3,162.28	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $199.53	Professional		$75.86	$123.03	$199.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $186.21 / $302.00	Professional	50	$114.82	$186.21	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $138.04 / $1,148.15	Facility		$50.12	$138.04	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $213.80	Professional		$77.62	$125.89	$213.80
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $190.55	Professional		$97.72	$134.90	$190.55
Health New England Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $660.69 / $660.69	Professional		$165.96	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,466.84 / $9,332.54	Facility		$1,819.70	$4,466.84	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $204.17	Professional		$52.48	$100.00	$204.17