Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.22 / $3,691.00 / $7,629.00	Facility		$333.22	$3,691.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,684.00 / $4,684.00 / $4,684.00	Facility	50	$4,684.00	$4,684.00	$4,684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $219.27 / $1,005.00	Professional		$70.25	$219.27	$1,005.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $606.12 / $606.12 / $606.12	Professional	50	$606.12	$606.12	$606.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,846.00 / $8,846.00 / $11,794.00	Facility		$8,846.00	$8,846.00	$11,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $175.46 / $221.21	Professional		$76.38	$175.46	$221.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.57 / $263.19 / $312.26	Professional	50	$114.57	$263.19	$312.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $167.79 / $574.58	Professional		$95.30	$167.79	$574.58
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $261.81 / $293.04 / $637.42	Professional		$261.81	$293.04	$637.42
Health New England Facility/Professional Facility Modifier Low / Median / High Price $616.50 / $616.50 / $616.50	Facility		$616.50	$616.50	$616.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $108.00 / $207.06	Professional		$105.32	$108.00	$207.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,978.00 / $6,832.00	Facility		$1,347.00	$3,978.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.31 / $370.24 / $702.38	Professional		$221.31	$370.24	$702.38