Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.19 / $4,228.00 / $8,031.00	Facility		$237.19	$4,228.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $237.19 / $865.00	Professional		$141.38	$237.19	$865.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.76 / $281.73 / $1,297.50	Professional	50	$172.76	$281.73	$1,297.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.52 / $211.83 / $277.79	Professional		$103.52	$211.83	$277.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $155.28 / $317.75 / $401.56	Professional	50	$155.28	$317.75	$401.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $196.11 / $377.72	Professional		$106.70	$196.11	$377.72
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $170.07 / $239.13	Professional		$102.90	$170.07	$239.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $309.87 / $318.50	Professional		$121.85	$309.87	$318.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $181.90 / $435.15	Professional		$131.50	$181.90	$435.15