Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $38.26 / $53.56	Facility		$26.41	$38.26	$53.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.57 / $71.41	Professional		$17.78	$28.57	$71.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.31 / $67.31 / $226.50	Professional	50	$67.31	$67.31	$226.50
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 $17.45 / $35.59 / $68.09	Professional		$17.45	$35.59	$68.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $26.17 / $53.39 / $102.14	Professional	50	$26.17	$53.39	$102.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $38.11 / $50.00	Facility		$38.11	$38.11	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $52.06 / $78.39	Professional		$30.37	$52.06	$78.39
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 $24.07 / $48.66 / $58.04	Professional		$24.07	$48.66	$58.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $29.40 / $88.19	Professional		$12.26	$29.40	$88.19
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 $25.06 / $50.34 / $80.90	Professional		$25.06	$50.34	$80.90