Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.67 / $4,305.00 / $8,031.00	Facility		$171.67	$4,305.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $124.06 / $238.37	Professional		$58.70	$124.06	$238.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $326.91 / $326.91 / $326.91	Professional	50	$326.91	$326.91	$326.91
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 $56.91 / $101.33 / $184.75	Professional		$56.91	$101.33	$184.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.36 / $152.00 / $277.13	Professional	50	$85.36	$152.00	$277.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.65 / $119.65 / $550.00	Facility		$119.65	$119.65	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $152.19 / $265.91	Professional		$95.14	$152.19	$265.91
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 $73.36 / $170.11 / $215.86	Professional		$73.36	$170.11	$215.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $82.65 / $82.65	Professional		$82.65	$82.65	$82.65
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 $75.03 / $161.01 / $280.47	Professional		$75.03	$161.01	$280.47