Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.62 / $1,694.00 / $6,343.00	Facility		$190.62	$1,694.00	$6,343.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $557.32 / $557.32 / $1,197.67	Facility	50	$557.32	$557.32	$1,197.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $94.71 / $329.49	Professional		$55.76	$94.71	$329.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.78 / $348.00 / $673.50	Professional	50	$131.78	$348.00	$673.50
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 $72.25 / $138.88 / $224.95	Professional		$72.25	$138.88	$224.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $108.37 / $208.32 / $337.43	Professional	50	$108.37	$208.32	$337.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $152.44 / $843.00	Facility		$50.00	$152.44	$843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $145.74 / $231.16	Professional		$94.54	$145.74	$231.16
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 $85.04 / $129.74 / $162.47	Professional		$85.04	$129.74	$162.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $180.93 / $790.50	Professional		$104.07	$180.93	$790.50
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 $83.38 / $171.07 / $277.77	Professional		$83.38	$171.07	$277.77