Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,715.35 / $8,511.38	Facility		$346.74	$3,715.35	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.26 / $3,388.44 / $8,709.64	Facility	50	$1,995.26	$3,388.44	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $204.17 / $977.24	Professional		$57.54	$204.17	$977.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $190.55 / $1,318.26	Professional	50	$91.20	$190.55	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $323.59	Professional		$72.44	$128.82	$323.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $194.98 / $416.87	Professional	50	$109.65	$194.98	$416.87
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 $85.11 / $177.83 / $524.81	Professional		$85.11	$177.83	$524.81
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $512.86	Professional		$208.93	$331.13	$512.86
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
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 $61.66 / $162.18 / $478.63	Professional		$61.66	$162.18	$478.63