Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.04 / $4,228.00 / $8,031.00	Facility		$253.04	$4,228.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $253.04 / $391.51	Professional		$181.40	$253.04	$391.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $344.63 / $403.28 / $1,519.55	Professional	50	$344.63	$403.28	$1,519.55
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 $113.12 / $244.48 / $426.48	Professional		$113.12	$244.48	$426.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $169.68 / $366.72 / $639.73	Professional	50	$169.68	$366.72	$639.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.78 / $268.70 / $429.18	Professional		$136.78	$268.70	$429.18
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $190.89 / $367.67	Professional		$115.25	$190.89	$367.67
Health New England Facility/Professional Professional Modifier Low / Median / High Price $228.37 / $266.44 / $446.97	Professional		$228.37	$266.44	$446.97
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 $149.94 / $229.33 / $465.30	Professional		$149.94	$229.33	$465.30