Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $4,570.88 / $7,079.46	Facility		$223.87	$4,570.88	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility	50	$6,309.57	$6,309.57	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $316.23	Professional		$52.48	$102.33	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $234.42 / $457.09	Professional	50	$158.49	$234.42	$457.09
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 $69.18 / $144.54 / $223.87	Professional		$69.18	$144.54	$223.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $218.78 / $338.84	Professional	50	$107.15	$218.78	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,318.26 / $1,479.11	Facility		$549.54	$1,318.26	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $309.03	Professional		$87.10	$158.49	$309.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $257.04	Professional		$97.72	$194.98	$257.04
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,466.84 / $9,332.54	Facility		$1,819.70	$4,466.84	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $263.03	Professional		$57.54	$117.49	$263.03