Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $4,300.00 / $9,530.00	Facility		$105.86	$4,300.00	$9,530.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,900.00 / $12,900.00 / $12,900.00	Facility	50	$12,900.00	$12,900.00	$12,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $105.86 / $194.17	Professional		$57.32	$105.86	$194.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $827.23 / $827.23 / $827.23	Professional	50	$827.23	$827.23	$827.23
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 $62.46 / $108.30 / $165.25	Professional		$62.46	$108.30	$165.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.92 / $162.44 / $247.88	Professional	50	$95.92	$162.44	$247.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.15 / $178.15 / $550.00	Facility		$178.15	$178.15	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $145.94 / $272.76	Professional		$88.44	$145.94	$272.76
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 $98.98 / $138.83 / $213.30	Professional		$98.98	$138.83	$213.30
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,179.23 / $1,179.23 / $1,179.23	Facility		$1,179.23	$1,179.23	$1,179.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $154.10 / $159.65	Professional		$123.52	$154.10	$159.65
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 $78.58 / $134.30 / $314.26	Professional		$78.58	$134.30	$314.26