Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.78 / $4,228.00 / $8,031.00	Facility		$383.78	$4,228.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,257.73 / $2,257.73 / $2,257.73	Facility	50	$2,257.73	$2,257.73	$2,257.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $240.41 / $456.70	Professional		$114.69	$240.41	$456.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.25 / $288.25 / $2,121.00	Professional	50	$288.25	$288.25	$2,121.00
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 $129.94 / $227.06 / $348.43	Professional		$129.94	$227.06	$348.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $195.73 / $340.59 / $522.64	Professional	50	$195.73	$340.59	$522.64
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 $188.64 / $334.09 / $656.63	Professional		$188.64	$334.09	$656.63
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 $226.10 / $392.00 / $522.89	Professional		$226.10	$392.00	$522.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $268.29 / $268.29 / $268.29	Professional		$268.29	$268.29	$268.29
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 $227.62 / $437.88 / $784.74	Professional		$227.62	$437.88	$784.74