Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,479.11 / $5,011.87	Facility		$354.81	$1,479.11	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $501.19 / $1,230.27 / $9,332.54	Facility	50	$501.19	$1,230.27	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $257.04	Professional		$44.67	$87.10	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $151.36 / $371.54	Professional	50	$67.61	$151.36	$371.54
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 $57.54 / $112.20 / $177.83	Professional		$57.54	$112.20	$177.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $169.82 / $263.03	Professional	50	$87.10	$169.82	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $489.78 / $549.54	Facility		$91.20	$489.78	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $158.49	Professional		$64.57	$104.71	$158.49
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $436.52	Professional		$81.28	$158.49	$436.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $147.91	Professional		$95.50	$128.82	$147.91
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 $45.71 / $81.28 / $165.96	Professional		$45.71	$81.28	$165.96