Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.73 / $3,863.00 / $7,629.00	Facility		$323.73	$3,863.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,576.82 / $3,691.00 / $7,061.36	Facility	50	$1,576.82	$3,691.00	$7,061.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $161.41 / $467.21	Professional		$69.23	$161.41	$467.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.92 / $341.56 / $1,357.50	Professional	50	$99.92	$341.56	$1,357.50
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 $82.68 / $165.09 / $243.54	Professional		$82.68	$165.09	$243.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.76 / $247.63 / $365.31	Professional	50	$123.76	$247.63	$365.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $237.11 / $433.56	Professional		$97.79	$237.11	$433.56
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,340.80 / $1,643.00 / $1,677.00	Facility		$1,340.80	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $356.98 / $420.00	Professional		$140.44	$356.98	$420.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,304.17 / $2,304.17 / $2,304.17	Facility		$2,304.17	$2,304.17	$2,304.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $245.63 / $388.51	Professional		$129.19	$245.63	$388.51
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 $148.13 / $299.51 / $526.78	Professional		$148.13	$299.51	$526.78