Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,630.78 / $7,079.46	Facility		$489.78	$3,630.78	$7,079.46
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	54	$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $891.25	Professional		$281.84	$467.74	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,096.48 / $1,096.48	Professional	50	$1,047.13	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $223.87 / $524.81 / $1,000.00	Professional	54	$223.87	$524.81	$1,000.00
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 $309.03 / $616.60 / $851.14	Professional		$309.03	$616.60	$851.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $912.01 / $1,288.25	Professional	50	$467.74	$912.01	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $354.81	Facility		$50.12	$50.12	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $933.25	Professional		$346.74	$549.54	$933.25
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $1,737.80	Professional		$398.11	$457.09	$1,737.80
Health New England Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
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 $263.03 / $467.74 / $891.25	Professional		$263.03	$467.74	$891.25