Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,715.35 / $7,079.46	Facility		$741.31	$3,715.35	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $371.54 / $4,168.69 / $4,786.30	Facility	50	$371.54	$4,168.69	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $371.54	Professional		$57.54	$100.00	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $190.55 / $524.81	Professional	50	$97.72	$190.55	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $181.97	Professional		$67.61	$117.49	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $177.83 / $263.03	Professional	50	$104.71	$177.83	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $251.19	Professional		$83.18	$151.36	$251.19
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $1,122.02	Professional		$95.50	$165.96	$1,122.02
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $389.05	Professional		$151.36	$234.42	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,467.37 / $6,760.83	Facility		$1,288.25	$3,467.37	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $251.19	Professional		$58.88	$114.82	$251.19