Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $4,769.00 / $8,031.00	Facility		$902.00	$4,769.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.58 / $738.03 / $1,863.02	Professional		$250.58	$738.03	$1,863.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $624.00 / $624.00 / $624.00	Professional	50	$624.00	$624.00	$624.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,820.00 / $36,820.00 / $36,820.00	Facility		$36,820.00	$36,820.00	$36,820.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.32 / $870.70 / $2,440.30	Professional		$448.32	$870.70	$2,440.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $662.68 / $1,306.05 / $3,660.45	Professional	50	$662.68	$1,306.05	$3,660.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $596.57 / $2,329.03	Professional		$351.68	$596.57	$2,329.03
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $931.40 / $1,331.48 / $1,770.90	Professional		$931.40	$1,331.48	$1,770.90
Health New England Facility/Professional Professional Modifier Low / Median / High Price $188.09 / $373.96 / $582.29	Professional		$188.09	$373.96	$582.29
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 $846.53 / $1,600.90 / $2,433.79	Professional		$846.53	$1,600.90	$2,433.79