Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $386.24 / $584.61	Facility		$92.71	$386.24	$584.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $72.43 / $202.69	Professional		$45.13	$72.43	$202.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $324.44 / $324.44 / $324.44	Professional	50	$324.44	$324.44	$324.44
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 $50.10 / $91.86 / $128.22	Professional		$50.10	$91.86	$128.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.06 / $137.79 / $192.33	Professional	50	$77.06	$137.79	$192.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $124.97 / $124.97	Facility		$50.00	$124.97	$124.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $106.66 / $172.79	Professional		$70.45	$106.66	$172.79
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 $64.66 / $100.17 / $127.60	Professional		$64.66	$100.17	$127.60
Health New England Facility/Professional Facility Modifier Low / Median / High Price $312.51 / $320.11 / $327.60	Facility		$312.51	$320.11	$327.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $107.06 / $140.54	Professional		$78.88	$107.06	$140.54
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 $62.76 / $122.64 / $217.28	Professional		$62.76	$122.64	$217.28