Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $4,305.00 / $8,031.00	Facility		$115.17	$4,305.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $79.81 / $235.41	Professional		$51.61	$79.81	$235.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.04 / $510.00 / $598.50	Professional	50	$109.04	$510.00	$598.50
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 $61.98 / $114.51 / $170.50	Professional		$61.98	$114.51	$170.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.83 / $175.14 / $255.76	Professional	50	$91.83	$175.14	$255.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.09 / $124.09 / $550.00	Facility		$124.09	$124.09	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $120.51 / $191.37	Professional		$86.66	$120.51	$191.37
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.87 / $1,643.00 / $1,677.00	Facility		$1,005.87	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $107.81 / $135.01	Professional		$71.43	$107.81	$135.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $171.65 / $226.04	Professional		$105.34	$171.65	$226.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,075.00 / $6,664.00	Facility		$1,380.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $126.76 / $238.39	Professional		$69.94	$126.76	$238.39