Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.47 / $4,280.34 / $8,031.00	Facility		$401.47	$4,280.34	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $188.65 / $401.47	Professional		$76.48	$188.65	$401.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $348.93 / $348.93 / $348.93	Professional	50	$348.93	$348.93	$348.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,950.00 / $6,273.00 / $10,432.00	Facility		$4,950.00	$6,273.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $172.59 / $220.90	Professional		$79.67	$172.59	$220.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.50 / $258.89 / $331.35	Professional	50	$119.50	$258.89	$331.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $237.37 / $566.29	Professional		$117.70	$237.37	$566.29
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $403.71 / $403.71	Professional		$273.73	$403.71	$403.71
Health New England Facility/Professional Facility Modifier Low / Median / High Price $419.90 / $419.90 / $419.90	Facility		$419.90	$419.90	$419.90
Health New England Facility/Professional Professional Modifier Low / Median / High Price $329.31 / $329.31 / $340.08	Professional		$329.31	$329.31	$340.08
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 $234.22 / $349.10 / $644.86	Professional		$234.22	$349.10	$644.86