Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.98 / $4,305.00 / $8,031.00	Facility		$165.98	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $296.02 / $1,226.83 / $4,398.00	Facility	50	$296.02	$1,226.83	$4,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $103.79 / $294.62	Professional		$56.50	$103.79	$294.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.43 / $419.97 / $778.50	Professional	50	$104.43	$419.97	$778.50
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 $55.16 / $94.88 / $154.24	Professional		$55.16	$94.88	$154.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.74 / $142.33 / $231.36	Professional	50	$82.74	$142.33	$231.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.36 / $98.36 / $550.00	Facility		$98.36	$98.36	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $140.06 / $218.22	Professional		$87.38	$140.06	$218.22
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,340.80 / $1,643.00 / $1,677.00	Facility		$1,340.80	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $151.11 / $201.90	Professional		$65.04	$151.11	$201.90
Health New England Facility/Professional Facility Modifier Low / Median / High Price $600.69 / $600.69 / $600.74	Facility		$600.69	$600.69	$600.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $118.58 / $240.92	Professional		$54.41	$118.58	$240.92
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 $64.12 / $137.59 / $223.11	Professional		$64.12	$137.59	$223.11