Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.89 / $2,074.00 / $4,973.99	Facility		$352.89	$2,074.00	$4,973.99
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $503.66 / $579.29 / $2,338.44	Facility	50	$503.66	$579.29	$2,338.44
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.38 / $44.88 / $61.43	Facility	52	$34.38	$44.88	$61.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $77.81 / $271.00	Professional		$43.18	$77.81	$271.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.30 / $187.46 / $434.81	Professional	50	$81.30	$187.46	$434.81
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 $51.55 / $108.81 / $176.01	Professional		$51.55	$108.81	$176.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.31 / $165.26 / $264.02	Professional	50	$77.31	$165.26	$264.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $92.17 / $550.00	Facility		$92.17	$92.17	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $103.88 / $151.44	Professional		$67.45	$103.88	$151.44
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 $76.20 / $158.13 / $355.25	Professional		$76.20	$158.13	$355.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $135.19 / $212.87	Professional		$67.59	$135.19	$212.87
Health New England Facility/Professional Professional Modifier 50 Low / Median / High Price $70.19 / $70.19 / $70.19	Professional	50	$70.19	$70.19	$70.19
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 $54.90 / $110.11 / $196.07	Professional		$54.90	$110.11	$196.07
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	50	$80.00	$80.00	$80.00