Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $364.32 / $937.90	Facility		$52.86	$364.32	$937.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $213.87 / $466.80 / $742.83	Facility	50	$213.87	$466.80	$742.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $52.86 / $115.50	Professional		$30.62	$52.86	$115.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.36 / $168.17 / $379.50	Professional	50	$77.36	$168.17	$379.50
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 $26.89 / $60.37 / $92.86	Professional		$26.89	$60.37	$92.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.33 / $90.10 / $139.29	Professional	50	$40.33	$90.10	$139.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $113.43 / $113.43	Facility		$50.00	$113.43	$113.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $72.40 / $148.54	Professional		$48.40	$72.40	$148.54
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 $53.99 / $75.37 / $94.39	Professional		$53.99	$75.37	$94.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $89.24 / $134.19	Professional		$89.24	$89.24	$134.19
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 $56.46 / $110.10 / $189.04	Professional		$56.46	$110.10	$189.04