Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.14 / $3,624.19 / $7,629.00	Facility		$107.14	$3,624.19	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $543.38 / $543.38 / $543.38	Facility	50	$543.38	$543.38	$543.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $69.14 / $307.00	Professional		$37.21	$69.14	$307.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.94 / $364.50 / $498.07	Professional	50	$97.94	$364.50	$498.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,786.00 / $10,432.00	Facility		$908.00	$5,786.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $92.13 / $144.24	Professional		$40.13	$92.13	$144.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.19 / $138.19 / $216.37	Professional	50	$60.19	$138.19	$216.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $79.76 / $550.00	Facility		$79.76	$79.76	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $90.42 / $136.00	Professional		$57.74	$90.42	$136.00
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,346.67 / $2,346.67 / $2,469.56	Facility		$2,346.67	$2,346.67	$2,469.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $84.60 / $194.83	Professional		$49.81	$84.60	$194.83
Health New England Facility/Professional Facility Modifier Low / Median / High Price $772.01 / $772.01 / $772.01	Facility		$772.01	$772.01	$772.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $114.55 / $286.36	Professional		$64.89	$114.55	$286.36
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 $48.59 / $99.54 / $161.63	Professional		$48.59	$99.54	$161.63