Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,341.81 / $5,244.00 / $12,477.00	Facility		$2,341.81	$5,244.00	$12,477.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,225.62 / $4,225.62 / $16,838.24	Facility	50	$4,225.62	$4,225.62	$16,838.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.36 / $1,057.93 / $3,279.26	Professional		$277.36	$1,057.93	$3,279.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $628.94 / $628.94 / $1,958.25	Professional	50	$628.94	$628.94	$1,958.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,873.00 / $11,830.00 / $36,820.00	Facility		$8,873.00	$11,830.00	$36,820.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.61 / $1,429.40 / $3,563.05	Professional		$509.61	$1,429.40	$3,563.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $764.42 / $2,138.46 / $5,344.57	Professional	50	$764.42	$2,138.46	$5,344.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.42 / $849.25 / $3,345.83	Professional		$440.42	$849.25	$3,345.83
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,846.99 / $2,216.98 / $3,595.02	Professional		$1,846.99	$2,216.98	$3,595.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $252.83 / $252.83 / $252.83	Professional		$252.83	$252.83	$252.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,325.00 / $8,100.00 / $11,880.00	Facility		$5,325.00	$8,100.00	$11,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,578.92 / $2,851.25 / $4,362.14	Professional		$1,578.92	$2,851.25	$4,362.14