Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.01 / $4,090.00 / $7,629.00	Facility		$211.01	$4,090.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,189.00 / $4,189.00 / $4,189.00	Facility	50	$4,189.00	$4,189.00	$4,189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $110.59 / $270.64	Professional		$56.92	$110.59	$270.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.80 / $276.95 / $943.50	Professional	50	$144.80	$276.95	$943.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $114.10 / $169.49	Professional		$52.58	$114.10	$169.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.72 / $171.15 / $254.24	Professional	50	$81.72	$171.15	$254.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $213.61 / $550.00	Facility		$213.61	$213.61	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $170.26 / $285.66	Professional		$89.42	$170.26	$285.66
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.87 / $1,643.00 / $1,677.00	Facility		$1,005.87	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $165.02 / $205.06	Professional		$97.07	$165.02	$205.06
Health New England Facility/Professional Facility Modifier Low / Median / High Price $245.19 / $245.19 / $295.55	Facility		$245.19	$245.19	$295.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $80.41 / $110.72	Professional		$37.79	$80.41	$110.72
Health New England Facility/Professional Professional Modifier 50 Low / Median / High Price $37.79 / $37.79 / $37.79	Professional	50	$37.79	$37.79	$37.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,134.00 / $6,664.00	Facility		$1,380.00	$3,134.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $171.66 / $326.70	Professional		$96.09	$171.66	$326.70