Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,467.37 / $6,456.54	Facility		$676.08	$3,467.37	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility	50	$2,570.40	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $338.84 / $707.95	Professional		$109.65	$338.84	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $11,748.98	Facility		$2,137.96	$3,162.28	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $1,479.11	Professional		$173.78	$316.23	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $1,096.48	Professional		$147.91	$302.00	$1,096.48
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,096.48	Professional		$630.96	$630.96	$1,096.48
Health New England Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,570.88 / $9,332.54	Facility		$1,905.46	$4,570.88	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $288.40 / $851.14	Professional		$120.23	$288.40	$851.14