Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $5,194.00 / $8,031.00	Facility		$902.00	$5,194.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,259.00 / $2,538.00 / $6,130.80	Facility	50	$2,259.00	$2,538.00	$6,130.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $320.85 / $735.46	Professional		$176.44	$320.85	$735.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,010.97 / $1,010.97 / $1,059.10	Professional	50	$1,010.97	$1,010.97	$1,059.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,826.00 / $4,727.00 / $10,000.00	Facility		$2,826.00	$4,727.00	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.52 / $367.36 / $623.00	Professional		$186.52	$367.36	$623.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $279.77 / $551.04 / $934.51	Professional	50	$279.77	$551.04	$934.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.11 / $405.34 / $637.69	Professional		$258.11	$405.34	$637.69
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $443.10 / $451.89 / $533.47	Professional		$443.10	$451.89	$533.47
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,208.44 / $1,208.44 / $1,582.40	Facility		$1,208.44	$1,208.44	$1,582.40
Health New England Facility/Professional Professional Modifier Low / Median / High Price $318.87 / $526.63 / $645.11	Professional		$318.87	$526.63	$645.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,414.00 / $5,950.00 / $9,338.00	Facility		$3,414.00	$5,950.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.49 / $411.79 / $709.54	Professional		$281.49	$411.79	$709.54