Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,570.88 / $7,413.10	Facility		$645.65	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $1,148.15	Professional		$295.12	$407.38	$1,148.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $1,023.29 / $1,819.70	Professional	50	$346.74	$1,023.29	$1,819.70
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $309.03 / $512.86 / $575.44	Professional	54	$309.03	$512.86	$575.44
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 $316.23 / $602.56 / $794.33	Professional		$316.23	$602.56	$794.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $912.01 / $1,148.15	Professional	50	$467.74	$912.01	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $1,023.29	Professional		$269.15	$446.68	$1,023.29
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $457.09	Professional		$229.09	$269.15	$457.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $645.65	Professional		$346.74	$467.74	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,570.88 / $9,332.54	Facility		$1,905.46	$4,570.88	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $891.25	Professional		$263.03	$363.08	$891.25