Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,630.78 / $5,248.07	Facility		$954.99	$3,630.78	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $2,691.53 / $6,309.57	Facility	50	$676.08	$2,691.53	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $575.44	Professional		$87.10	$186.21	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $346.74 / $1,047.13	Professional	50	$131.83	$346.74	$1,047.13
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 $102.33 / $181.97 / $269.15	Professional		$102.33	$181.97	$269.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $269.15 / $398.11	Professional	50	$154.88	$269.15	$398.11
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 $131.83 / $257.04 / $467.74	Professional		$131.83	$257.04	$467.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $1,445.44	Professional		$194.98	$309.03	$1,445.44
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $707.95	Professional		$426.58	$426.58	$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 $83.18 / $194.98 / $446.68	Professional		$83.18	$194.98	$446.68