Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.86 / $4,240.00 / $7,629.00	Facility		$308.86	$4,240.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.50 / $3,691.00 / $5,160.00	Facility	50	$954.50	$3,691.00	$5,160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $177.69 / $443.13	Professional		$98.53	$177.69	$443.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.07 / $272.67 / $937.63	Professional	50	$181.07	$272.67	$937.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,366.00 / $8,848.00 / $11,797.00	Facility		$2,366.00	$8,848.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $193.61 / $288.30	Professional		$104.89	$193.61	$288.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $163.11 / $290.41 / $432.45	Professional	50	$163.11	$290.41	$432.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $1,309.52 / $1,309.52	Facility		$843.00	$1,309.52	$1,309.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.42 / $294.83 / $481.87	Professional		$170.42	$294.83	$481.87
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 $164.27 / $289.61 / $1,846.71	Professional		$164.27	$289.61	$1,846.71
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,821.14 / $2,821.14 / $2,821.14	Facility		$2,821.14	$2,821.14	$2,821.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $742.37 / $1,746.56	Professional		$312.20	$742.37	$1,746.56
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 $169.66 / $363.41 / $575.92	Professional		$169.66	$363.41	$575.92