Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.94 / $3,501.63 / $7,629.00	Facility		$140.94	$3,501.63	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $140.94 / $403.30	Professional		$63.31	$140.94	$403.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.02 / $47.42 / $88.39	Professional	52	$30.02	$47.42	$88.39
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 $67.48 / $100.40 / $156.90	Professional		$67.48	$100.40	$156.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $101.22 / $148.00 / $235.35	Professional	50	$101.22	$148.00	$235.35
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 $68.23 / $120.91 / $220.78	Professional		$68.23	$120.91	$220.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $71.23 / $160.05	Professional		$9.60	$71.23	$160.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $177.98 / $286.99	Professional		$125.64	$177.98	$286.99
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 $94.55 / $131.41 / $237.06	Professional		$94.55	$131.41	$237.06