Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.75 / $3,624.19 / $7,629.00	Facility		$595.75	$3,624.19	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,545.79 / $6,005.92 / $6,005.92	Facility	50	$2,545.79	$6,005.92	$6,005.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $197.15 / $997.24	Professional		$123.07	$197.15	$997.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,214.00 / $19,235.00 / $21,190.00	Facility		$5,214.00	$19,235.00	$21,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $276.10 / $327.58	Professional		$142.69	$276.10	$327.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $225.69 / $424.13	Professional		$170.09	$225.69	$424.13
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $182.28 / $228.47 / $228.47	Professional		$182.28	$228.47	$228.47
Health New England Facility/Professional Facility Modifier Low / Median / High Price $5,823.04 / $5,823.04 / $5,823.04	Facility		$5,823.04	$5,823.04	$5,823.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $296.70 / $325.22 / $441.96	Professional		$296.70	$325.22	$441.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.37 / $218.52 / $437.82	Professional		$143.37	$218.52	$437.82