Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.23 / $341.51 / $850.00	Facility		$97.23	$341.51	$850.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $478.87 / $478.87 / $478.87	Facility	50	$478.87	$478.87	$478.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $66.20 / $236.55	Professional		$37.17	$66.20	$236.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.39 / $201.93 / $207.97	Professional	50	$112.39	$201.93	$207.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $73.59 / $102.68	Professional		$41.68	$73.59	$102.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.20 / $110.40 / $154.02	Professional	50	$64.20	$110.40	$154.02
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 $57.90 / $95.61 / $160.52	Professional		$57.90	$95.61	$160.52
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,346.67 / $2,346.67 / $2,469.56	Facility		$2,346.67	$2,346.67	$2,469.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $98.04 / $122.78	Professional		$59.64	$98.04	$122.78
Health New England Facility/Professional Facility Modifier Low / Median / High Price $253.18 / $253.18 / $253.18	Facility		$253.18	$253.18	$253.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $115.63 / $153.87	Professional		$62.89	$115.63	$153.87
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 $57.22 / $107.30 / $193.97	Professional		$57.22	$107.30	$193.97