Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.15 / $2,183.00 / $7,629.00	Facility		$441.15	$2,183.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $806.52 / $3,300.00 / $6,342.00	Facility	50	$806.52	$3,300.00	$6,342.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $89.90 / $237.09	Professional		$43.37	$89.90	$237.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.28 / $364.50 / $657.00	Professional	50	$83.28	$364.50	$657.00
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 $43.17 / $83.44 / $172.04	Professional		$43.17	$83.44	$172.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $62.64 / $123.22 / $258.06	Professional	50	$62.64	$123.22	$258.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.09 / $124.09 / $550.00	Facility		$124.09	$124.09	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $124.28 / $201.17	Professional		$71.56	$124.28	$201.17
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 $63.25 / $146.19 / $704.08	Professional		$63.25	$146.19	$704.08
Health New England Facility/Professional Facility Modifier Low / Median / High Price $367.80 / $367.80 / $709.15	Facility		$367.80	$367.80	$709.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $64.58 / $129.65	Professional		$29.18	$64.58	$129.65
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 $68.18 / $137.10 / $233.25	Professional		$68.18	$137.10	$233.25