Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,230.27 / $5,011.87	Facility		$436.52	$1,230.27	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $588.84 / $588.84 / $1,202.26	Facility	50	$588.84	$588.84	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $389.05	Professional		$57.54	$128.82	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $295.12 / $676.08	Professional	50	$117.49	$295.12	$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 $85.11 / $144.54 / $229.09	Professional		$85.11	$144.54	$229.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $213.80 / $346.74	Professional	50	$128.82	$213.80	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $151.36 / $851.14	Facility		$50.12	$151.36	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $234.42	Professional		$93.33	$144.54	$234.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $213.80	Professional		$107.15	$158.49	$213.80
Health New England Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $831.76	Professional		$147.91	$208.93	$831.76
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 $60.26 / $114.82 / $234.42	Professional		$60.26	$114.82	$234.42