Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,011.87	Facility		$741.31	$1,737.80	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $812.83 / $1,949.84 / $6,309.57	Facility	50	$812.83	$1,949.84	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $316.23	Professional		$43.65	$97.72	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $245.47 / $724.44	Professional	50	$66.07	$245.47	$724.44
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 $54.95 / $120.23 / $190.55	Professional		$54.95	$120.23	$190.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $181.97 / $281.84	Professional	50	$83.18	$181.97	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $549.54 / $1,148.15	Facility		$123.03	$549.54	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $208.93	Professional		$67.61	$120.23	$208.93
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $724.44	Professional		$83.18	$147.91	$724.44
Health New England Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $707.95	Facility		$371.54	$371.54	$707.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $194.98	Professional		$44.67	$87.10	$194.98
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 $44.67 / $95.50 / $204.17	Professional		$44.67	$95.50	$204.17