Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $162.18 / $741.31	Facility		$117.49	$162.18	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $323.59	Professional		$63.10	$112.20	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $281.84 / $478.63	Professional	50	$275.42	$281.84	$478.63
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 $69.18 / $123.03 / $181.97	Professional		$69.18	$123.03	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $186.21 / $263.03	Professional	50	$107.15	$186.21	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $162.18	Facility		$50.12	$50.12	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $218.78	Professional		$85.11	$141.25	$218.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $575.44	Professional		$100.00	$154.88	$575.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $204.17	Professional		$134.90	$158.49	$204.17
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 / $107.15 / $223.87	Professional		$60.26	$107.15	$223.87