Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $3,534.46 / $7,629.00	Facility		$99.40	$3,534.46	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	50	$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $57.63 / $198.00	Professional		$34.02	$57.63	$198.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.54 / $201.20 / $333.00	Professional	50	$56.54	$201.20	$333.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,998.99 / $5,881.16 / $10,432.00	Facility		$4,998.99	$5,881.16	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $85.63 / $136.51	Professional		$41.93	$85.63	$136.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $61.99 / $129.55 / $204.76	Professional	50	$61.99	$129.55	$204.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $77.98 / $550.00	Facility		$77.98	$77.98	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $77.64 / $125.00	Professional		$54.84	$77.64	$125.00
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 $46.11 / $97.47 / $253.75	Professional		$46.11	$97.47	$253.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $92.77 / $169.32	Professional		$19.68	$92.77	$169.32
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 $44.62 / $87.02 / $146.66	Professional		$44.62	$87.02	$146.66