Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $4,228.00 / $7,629.00	Facility		$89.70	$4,228.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $60.01 / $246.42	Professional		$37.00	$60.01	$246.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.09 / $109.95 / $109.95	Professional	50	$80.09	$109.95	$109.95
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 $40.29 / $93.29 / $147.66	Professional		$40.29	$93.29	$147.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $59.70 / $140.94 / $221.51	Professional	50	$59.70	$140.94	$221.51
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 $62.73 / $88.65 / $133.21	Professional		$62.73	$88.65	$133.21
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 $49.15 / $83.00 / $103.95	Professional		$49.15	$83.00	$103.95
Health New England Facility/Professional Facility Modifier Low / Median / High Price $719.27 / $719.27 / $719.27	Facility		$719.27	$719.27	$719.27
Health New England Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $76.18 / $133.22	Professional		$55.15	$76.18	$133.22
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 $49.54 / $92.90 / $159.49	Professional		$49.54	$92.90	$159.49