Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,311.31 / $5,128.61	Facility		$954.99	$3,311.31	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $3,890.45 / $4,897.79	Facility	50	$2,187.76	$3,890.45	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $794.33	Professional		$107.15	$251.19	$794.33
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.25 / $141.25 / $190.55	Professional	22	$141.25	$141.25	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $407.38 / $2,089.30	Professional	50	$169.82	$407.38	$2,089.30
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.31 / $36.31 / $37.15	Professional	53	$36.31	$36.31	$37.15
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 $114.82 / $218.78 / $354.81	Professional		$114.82	$218.78	$354.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $316.23 / $478.63	Professional	50	$190.55	$316.23	$478.63
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 $162.18 / $295.12 / $645.65	Professional		$162.18	$295.12	$645.65
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $676.08 / $1,621.81	Professional		$316.23	$676.08	$1,621.81
Health New England Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,187.76 / $2,691.53	Facility		$741.31	$2,187.76	$2,691.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $707.95	Professional		$190.55	$239.88	$707.95
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 $104.71 / $251.19 / $602.56	Professional		$104.71	$251.19	$602.56