Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.82 / $4,246.00 / $9,646.49	Facility		$1,089.82	$4,246.00	$9,646.49
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $724.07 / $817.37 / $856.88	Facility	54	$724.07	$817.37	$856.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.93 / $965.43 / $3,141.00	Professional		$675.93	$965.43	$3,141.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $538.15 / $724.07 / $1,242.04	Professional	54	$538.15	$724.07	$1,242.04
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $107.63 / $144.81 / $248.41	Professional	55	$107.63	$144.81	$248.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,956.00	Facility		$5,410.00	$6,763.00	$10,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.25 / $1,089.09 / $1,364.51	Professional		$532.25	$1,089.09	$1,364.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $798.37 / $1,633.65 / $2,010.12	Professional	50	$798.37	$1,633.65	$2,010.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.51 / $834.93 / $1,728.21	Professional		$538.51	$834.93	$1,728.21
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $495.76 / $820.50 / $966.37	Professional		$495.76	$820.50	$966.37
Health New England Facility/Professional Professional Modifier Low / Median / High Price $980.77 / $980.77 / $1,504.22	Professional		$980.77	$980.77	$1,504.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,414.00 / $5,950.00 / $9,338.00	Facility		$3,414.00	$5,950.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.99 / $775.55 / $2,063.07	Professional		$594.99	$775.55	$2,063.07