Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $4,570.88 / $8,511.38	Facility		$257.04	$4,570.88	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	50	$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $691.83	Professional		$114.82	$173.78	$691.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $263.03 / $933.25	Professional	50	$162.18	$263.03	$933.25
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 $131.83 / $245.47 / $323.59	Professional		$131.83	$245.47	$323.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $371.54 / $446.68	Professional	50	$194.98	$371.54	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $398.11	Professional		$102.33	$169.82	$398.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $218.78	Professional		$100.00	$165.96	$218.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $194.98	Professional		$85.11	$107.15	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,890.45 / $6,760.83	Facility		$1,288.25	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $346.74	Professional		$102.33	$141.25	$346.74