Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $4,570.88 / $8,511.38	Facility		$501.19	$4,570.88	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $4,365.16 / $4,365.16	Facility	50	$2,089.30	$4,365.16	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $758.58	Professional		$112.20	$239.88	$758.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $794.33 / $1,949.84	Professional	50	$380.19	$794.33	$1,949.84
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 $134.90 / $295.12 / $457.09	Professional		$134.90	$295.12	$457.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $446.68 / $645.65	Professional	50	$186.21	$446.68	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $1,479.11	Facility		$467.74	$549.54	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $630.96	Professional		$169.82	$309.03	$630.96
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $426.58	Professional		$275.42	$354.81	$426.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
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 $123.03 / $263.03 / $575.44	Professional		$123.03	$263.03	$575.44