Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,560.00 / $7,629.00 / $12,992.67	Facility		$2,560.00	$7,629.00	$12,992.67
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,000.00 / $9,645.04 / $12,570.00	Facility	50	$6,000.00	$9,645.04	$12,570.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.08 / $497.17 / $1,646.78	Professional		$367.08	$497.17	$1,646.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,826.00 / $4,727.00 / $12,905.00	Facility		$2,826.00	$4,727.00	$12,905.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.86 / $723.92 / $943.50	Professional		$330.86	$723.92	$943.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $482.53 / $1,085.89 / $1,415.25	Professional	50	$482.53	$1,085.89	$1,415.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.17 / $688.62 / $925.64	Professional		$435.17	$688.62	$925.64
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $532.69 / $532.69 / $548.54	Professional		$532.69	$532.69	$548.54
Health New England Facility/Professional Facility Modifier Low / Median / High Price $908.91 / $908.91 / $908.91	Facility		$908.91	$908.91	$908.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $381.54 / $381.54 / $381.54	Professional		$381.54	$381.54	$381.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,325.00 / $8,250.00 / $11,880.00	Facility		$5,325.00	$8,250.00	$11,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.99 / $536.79 / $897.33	Professional		$355.99	$536.79	$897.33