Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,122.19 / $5,297.00 / $8,377.04	Facility		$2,122.19	$5,297.00	$8,377.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,061.00 / $4,392.96 / $9,551.84	Facility	50	$2,061.00	$4,392.96	$9,551.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $501.95 / $1,382.10	Professional		$278.20	$501.95	$1,382.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.89 / $660.89 / $660.89	Professional	50	$660.89	$660.89	$660.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,950.00 / $6,273.00 / $10,956.00	Facility		$4,950.00	$6,273.00	$10,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.26 / $731.84 / $1,021.50	Professional		$185.26	$731.84	$1,021.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $277.89 / $1,076.67 / $1,532.26	Professional	50	$277.89	$1,076.67	$1,532.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.29 / $569.46 / $805.23	Professional		$294.29	$569.46	$805.23
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $494.62 / $494.62 / $605.32	Professional		$494.62	$494.62	$605.32
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,169.58 / $2,568.44 / $4,321.50	Facility		$2,169.58	$2,568.44	$4,321.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $140.24 / $140.24 / $841.41	Professional		$140.24	$140.24	$841.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $7,010.00 / $11,152.00	Facility		$4,565.00	$7,010.00	$11,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $457.00 / $794.44	Professional		$291.60	$457.00	$794.44