Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,548.13 / $5,754.40	Facility		$467.74	$3,548.13	$5,754.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility	50	$4,677.35	$4,677.35	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $204.17 / $562.34	Professional		$64.57	$204.17	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $489.78 / $933.25	Professional	50	$194.98	$489.78	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $11,748.98 / $11,748.98	Facility		$8,912.51	$11,748.98	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $257.04	Professional		$93.33	$165.96	$257.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $245.47 / $309.03	Professional	50	$138.04	$245.47	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $549.54	Professional		$85.11	$204.17	$549.54
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $478.63	Professional		$275.42	$363.08	$478.63
Health New England Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $218.78	Professional		$104.71	$107.15	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,890.45 / $6,760.83	Facility		$1,288.25	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $199.53 / $537.03	Professional		$70.79	$199.53	$537.03