Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $363.08 / $724.44	Facility		$123.03	$363.08	$724.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $213.80 / $467.74 / $724.44	Facility	50	$213.80	$467.74	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $147.91	Professional		$26.92	$57.54	$147.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $186.21 / $234.42	Professional	50	$77.62	$186.21	$234.42
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 $35.48 / $67.61 / $104.71	Professional		$35.48	$67.61	$104.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $100.00 / $151.36	Professional	50	$53.70	$100.00	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $112.20	Facility		$50.12	$50.12	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $151.36	Professional		$43.65	$72.44	$151.36
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $128.82	Professional		$64.57	$75.86	$128.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $134.90	Professional		$89.13	$89.13	$134.90
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 $30.20 / $63.10 / $144.54	Professional		$30.20	$63.10	$144.54