Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $117.59 / $144.91	Facility		$84.75	$117.59	$144.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $84.75 / $233.68	Professional		$55.65	$84.75	$233.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $425.97 / $425.97 / $425.97	Professional	50	$425.97	$425.97	$425.97
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 $56.80 / $108.17 / $149.44	Professional		$56.80	$108.17	$149.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $84.45 / $162.25 / $224.18	Professional	50	$84.45	$162.25	$224.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $127.63 / $127.63	Facility		$50.00	$127.63	$127.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $128.97 / $191.27	Professional		$85.67	$128.97	$191.27
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.87 / $1,643.00 / $1,677.00	Facility		$1,005.87	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $134.10 / $155.08	Professional		$66.78	$134.10	$155.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $171.69 / $171.69	Professional		$94.39	$171.69	$171.69
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 $67.73 / $134.87 / $241.91	Professional		$67.73	$134.87	$241.91