Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.96 / $4,090.00 / $7,629.00	Facility		$118.96	$4,090.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $79.90 / $234.43	Professional		$47.69	$79.90	$234.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $232.05 / $529.50 / $676.13	Professional	50	$232.05	$529.50	$676.13
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 $63.12 / $118.06 / $194.90	Professional		$63.12	$118.06	$194.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $94.68 / $177.09 / $292.35	Professional	50	$94.68	$177.09	$292.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $139.13 / $843.00	Facility		$50.00	$139.13	$843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $126.04 / $201.19	Professional		$81.92	$126.04	$201.19
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 $76.98 / $112.20 / $140.51	Professional		$76.98	$112.20	$140.51
Health New England Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $772.00 / $772.00	Facility		$772.00	$772.00	$772.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $164.06 / $662.15	Professional		$164.06	$164.06	$662.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,210.00 / $7,760.00	Facility		$1,157.00	$4,210.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $145.55 / $245.03	Professional		$74.64	$145.55	$245.03