Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $4,450.00 / $10,492.00	Facility		$902.00	$4,450.00	$10,492.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,489.50 / $1,918.37 / $6,422.11	Facility	50	$1,489.50	$1,918.37	$6,422.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.77 / $629.41 / $1,046.83	Professional		$420.77	$629.41	$1,046.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,483.00 / $12,145.00 / $17,933.32	Facility		$7,483.00	$12,145.00	$17,933.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.70 / $743.13 / $867.23	Professional		$497.70	$743.13	$867.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.28 / $782.19 / $1,748.69	Professional		$625.28	$782.19	$1,748.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $518.25 / $939.80 / $939.80	Professional		$518.25	$939.80	$939.80
Health New England Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $79.63 / $79.63	Facility		$79.63	$79.63	$79.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $181.25 / $181.25	Professional		$181.25	$181.25	$181.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,325.00 / $8,250.00 / $11,880.00	Facility		$5,325.00	$8,250.00	$11,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.84 / $766.28 / $1,504.41	Professional		$461.84	$766.28	$1,504.41