Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.42 / $4,280.34 / $8,031.00	Facility		$181.42	$4,280.34	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,558.38 / $1,558.38 / $1,558.38	Facility	50	$1,558.38	$1,558.38	$1,558.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $109.76 / $193.87	Professional		$58.40	$109.76	$193.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.54 / $524.54 / $524.54	Professional	50	$524.54	$524.54	$524.54
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 $58.00 / $106.37 / $169.49	Professional		$58.00	$106.37	$169.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.61 / $159.56 / $254.24	Professional	50	$89.61	$159.56	$254.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,018.57 / $1,018.57	Facility		$550.00	$1,018.57	$1,018.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $169.27 / $343.53	Professional		$96.88	$169.27	$343.53
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 $84.04 / $194.71 / $248.46	Professional		$84.04	$194.71	$248.46
Health New England Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $175.58 / $317.36	Professional		$175.58	$175.58	$317.36
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 $88.90 / $190.77 / $318.93	Professional		$88.90	$190.77	$318.93