Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $7,079.46	Facility		$954.99	$3,801.89	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $371.54 / $3,715.35 / $5,623.41	Facility	50	$371.54	$3,715.35	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $630.96	Professional		$102.33	$204.17	$630.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $338.84 / $954.99	Professional	50	$208.93	$338.84	$954.99
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 $109.65 / $208.93 / $323.59	Professional		$109.65	$208.93	$323.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $316.23 / $478.63	Professional	50	$177.83	$316.23	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,479.11	Facility		$851.14	$1,318.26	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $512.86	Professional		$154.88	$281.84	$512.86
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $1,905.46	Professional		$190.55	$331.13	$1,905.46
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $1,737.80	Professional		$213.80	$309.03	$1,737.80
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 $100.00 / $223.87 / $489.78	Professional		$100.00	$223.87	$489.78