Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.68 / $130.83 / $169.88	Facility		$93.68	$130.83	$169.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $93.68 / $307.54	Professional		$57.03	$93.68	$307.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $277.14 / $277.14 / $281.99	Professional	50	$277.14	$277.14	$281.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $118.26 / $161.84	Professional		$63.13	$118.26	$161.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.93 / $177.40 / $242.76	Professional	50	$97.93	$177.40	$242.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $161.30 / $161.30	Facility		$50.00	$161.30	$161.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $139.19 / $213.59	Professional		$87.58	$139.19	$213.59
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,346.67 / $2,346.67 / $2,469.56	Facility		$2,346.67	$2,346.67	$2,469.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $128.37 / $214.55	Professional		$78.91	$128.37	$214.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $167.36 / $204.75	Professional		$136.00	$167.36	$204.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,075.00 / $6,664.00	Facility		$1,380.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $152.38 / $258.27	Professional		$76.14	$152.38	$258.27