Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,943.20 / $7,521.00 / $12,477.00	Facility		$2,943.20	$7,521.00	$12,477.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,745.60 / $8,277.61 / $24,180.00	Facility	50	$2,745.60	$8,277.61	$24,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.81 / $1,341.07 / $3,758.02	Professional		$347.81	$1,341.07	$3,758.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $601.09 / $1,782.72 / $2,392.29	Professional	50	$601.09	$1,782.72	$2,392.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,920.00 / $13,227.00 / $36,820.00	Facility		$9,920.00	$13,227.00	$36,820.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.51 / $1,818.68 / $4,323.07	Professional		$574.51	$1,818.68	$4,323.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $861.77 / $2,710.78 / $6,062.44	Professional	50	$861.77	$2,710.78	$6,062.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.94 / $958.63 / $4,241.26	Professional		$485.94	$958.63	$4,241.26
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $2,312.01 / $2,554.78 / $4,009.98	Professional		$2,312.01	$2,554.78	$4,009.98
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,899.64 / $4,899.64 / $4,899.64	Facility		$4,899.64	$4,899.64	$4,899.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $538.92 / $727.50	Professional		$291.75	$538.92	$727.50
Health New England Facility/Professional Professional Modifier 50 Low / Median / High Price $396.00 / $396.00 / $414.15	Professional	50	$396.00	$396.00	$414.15
United Facility/Professional Facility Modifier Low / Median / High Price $6,943.00 / $10,633.00 / $18,470.00	Facility		$6,943.00	$10,633.00	$18,470.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,010.55 / $3,575.05 / $5,563.14	Professional		$2,010.55	$3,575.05	$5,563.14