Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $3,309.00 / $7,629.00	Facility		$74.40	$3,309.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $586.82 / $586.82 / $1,734.56	Facility	50	$586.82	$586.82	$1,734.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $57.87 / $200.79	Professional		$35.72	$57.87	$200.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.36 / $171.18 / $445.50	Professional	50	$104.36	$171.18	$445.50
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 $43.58 / $88.85 / $144.24	Professional		$43.58	$88.85	$144.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.63 / $135.27 / $216.37	Professional	50	$64.63	$135.27	$216.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.88 / $78.88 / $550.00	Facility		$78.88	$78.88	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $85.29 / $128.05	Professional		$56.60	$85.29	$128.05
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 $46.94 / $105.80 / $263.89	Professional		$46.94	$105.80	$263.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $102.60 / $119.41	Professional		$75.87	$102.60	$119.41
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 $46.18 / $94.92 / $156.38	Professional		$46.18	$94.92	$156.38