Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.06 / $4,246.00 / $7,629.00	Facility		$190.06	$4,246.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,739.26 / $1,739.26 / $1,739.26	Facility	50	$1,739.26	$1,739.26	$1,739.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $109.77 / $223.97	Professional		$58.64	$109.77	$223.97
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 $67.97 / $114.01 / $151.90	Professional		$67.97	$114.01	$151.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $105.35 / $169.38 / $227.86	Professional	50	$105.35	$169.38	$227.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,309.52 / $1,309.52	Facility		$550.00	$1,309.52	$1,309.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $168.84 / $297.81	Professional		$101.27	$168.84	$297.81
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 $113.47 / $178.19 / $234.79	Professional		$113.47	$178.19	$234.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $183.99 / $190.61	Professional		$105.52	$183.99	$190.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,210.00 / $7,760.00	Facility		$1,157.00	$4,210.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $225.31 / $383.67	Professional		$107.70	$225.31	$383.67