Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.49 / $4,246.00 / $7,629.00	Facility		$107.49	$4,246.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $70.16 / $203.51	Professional		$41.78	$70.16	$203.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $239.39 / $239.39 / $375.90	Professional	50	$239.39	$239.39	$375.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,824.00 / $8,848.00 / $11,797.00	Facility		$7,824.00	$8,848.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $103.20 / $178.09	Professional		$55.69	$103.20	$178.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $84.09 / $156.90 / $267.14	Professional	50	$84.09	$156.90	$267.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $132.06 / $843.00	Facility		$50.00	$132.06	$843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $113.94 / $182.12	Professional		$71.62	$113.94	$182.12
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 $71.33 / $127.03 / $355.25	Professional		$71.33	$127.03	$355.25
Health New England Facility/Professional Facility Modifier Low / Median / High Price $675.36 / $675.36 / $675.36	Facility		$675.36	$675.36	$675.36
Health New England Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $210.44 / $351.05	Professional		$135.41	$210.44	$351.05
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 $67.52 / $138.77 / $219.89	Professional		$67.52	$138.77	$219.89