Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $4,450.00 / $8,031.00	Facility		$902.00	$4,450.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,863.00 / $3,863.00 / $3,863.00	Facility	50	$3,863.00	$3,863.00	$3,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $236.19 / $972.24	Professional		$105.76	$236.19	$972.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,217.00 / $8,931.00 / $11,908.00	Facility		$8,217.00	$8,931.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $469.01 / $1,114.75	Professional		$129.97	$469.01	$1,114.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $194.97 / $703.36 / $1,672.12	Professional	50	$194.97	$703.36	$1,672.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $370.31 / $1,288.11	Professional		$150.97	$370.31	$1,288.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $645.99 / $957.37 / $957.37	Professional		$645.99	$957.37	$957.37
Health New England Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $220.05 / $220.05	Professional		$220.05	$220.05	$220.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,849.00 / $4,647.00 / $9,338.00	Facility		$1,849.00	$4,647.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.52 / $960.09 / $1,780.04	Professional		$578.52	$960.09	$1,780.04