Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $363.08 / $7,079.46	Facility		$281.84	$363.08	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $549.54 / $549.54 / $562.34	Facility	50	$549.54	$549.54	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $269.15	Professional		$48.98	$100.00	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $181.97 / $181.97	Professional	50	$114.82	$181.97	$181.97
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 $56.23 / $104.71 / $144.54	Professional		$56.23	$104.71	$144.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $162.18 / $213.80	Professional	50	$81.28	$162.18	$213.80
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 $75.86 / $123.03 / $213.80	Professional		$75.86	$123.03	$213.80
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Professional		$165.96	$165.96	$218.78
Health New England Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $154.88	Professional		$104.71	$104.71	$154.88
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 $48.98 / $95.50 / $199.53	Professional		$48.98	$95.50	$199.53