Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $2,183.00 / $7,629.00	Facility		$103.28	$2,183.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $867.35 / $908.56 / $1,228.91	Facility	50	$867.35	$908.56	$1,228.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $56.13 / $195.62	Professional		$33.60	$56.13	$195.62
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 $38.40 / $83.67 / $135.65	Professional		$38.40	$83.67	$135.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.44 / $74.44 / $550.00	Facility		$74.44	$74.44	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $84.24 / $126.12	Professional		$49.32	$84.24	$126.12
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 $44.63 / $76.26 / $161.00	Professional		$44.63	$76.26	$161.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $152.62 / $691.60 / $756.76	Facility		$152.62	$691.60	$756.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $67.58 / $437.75	Professional		$23.19	$67.58	$437.75
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 $49.44 / $96.61 / $167.34	Professional		$49.44	$96.61	$167.34