Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,065.40 / $4,769.00 / $8,031.00	Facility		$2,065.40	$4,769.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,065.40 / $6,000.00 / $14,750.09	Facility	50	$3,065.40	$6,000.00	$14,750.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $900.16 / $2,968.68	Professional		$297.81	$900.16	$2,968.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $603.91 / $1,433.51 / $1,538.57	Professional	50	$603.91	$1,433.51	$1,538.57
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 $534.16 / $1,275.61 / $4,119.66	Professional		$534.16	$1,275.61	$4,119.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $785.89 / $1,913.43 / $6,179.49	Professional	50	$785.89	$1,913.43	$6,179.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.53 / $740.14 / $3,697.42	Professional		$438.53	$740.14	$3,697.42
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $1,586.24 / $2,267.60 / $2,797.49	Professional		$1,586.24	$2,267.60	$2,797.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $232.61 / $427.75 / $989.29	Professional		$232.61	$427.75	$989.29
Health New England Facility/Professional Professional Modifier 50 Low / Median / High Price $317.67 / $343.34 / $1,527.21	Professional	50	$317.67	$343.34	$1,527.21
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 $1,459.82 / $2,768.51 / $4,333.35	Professional		$1,459.82	$2,768.51	$4,333.35