Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.84 / $4,228.00 / $7,629.00	Facility		$151.84	$4,228.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $430.92 / $4,189.00 / $4,398.00	Facility	50	$430.92	$4,189.00	$4,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $93.77 / $246.61	Professional		$55.26	$93.77	$246.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $92.15 / $144.80 / $491.63	Professional	50	$92.15	$144.80	$491.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.00 / $2,329.00 / $2,329.00	Facility		$2,329.00	$2,329.00	$2,329.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $102.42 / $160.94	Professional		$58.79	$102.42	$160.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.06 / $153.63 / $241.41	Professional	50	$91.06	$153.63	$241.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $843.00 / $843.00	Facility		$843.00	$843.00	$843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $153.56 / $242.91	Professional		$94.12	$153.56	$242.91
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.87 / $1,643.00 / $1,677.00	Facility		$1,005.87	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $141.18 / $1,076.92	Professional		$83.39	$141.18	$1,076.92
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,410.56 / $1,410.56 / $1,410.56	Facility		$1,410.56	$1,410.56	$1,410.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $232.50 / $390.00	Professional		$152.18	$232.50	$390.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,075.00 / $6,664.00	Facility		$1,380.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $166.83 / $285.56	Professional		$84.53	$166.83	$285.56