Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.89 / $36.31	Facility		$15.85	$20.89	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $89.13	Professional		$10.00	$20.89	$89.13
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 $14.79 / $36.31 / $56.23	Professional		$14.79	$36.31	$56.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $21.38 / $53.70 / $83.18	Professional	50	$21.38	$53.70	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $63.10	Professional		$18.20	$36.31	$63.10
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $56.23	Professional		$19.95	$38.90	$56.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
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 $12.02 / $27.54 / $54.95	Professional		$12.02	$27.54	$54.95