Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.43 / $4,280.34 / $8,031.00	Facility		$152.43	$4,280.34	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $94.11 / $193.31	Professional		$56.04	$94.11	$193.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.26 / $130.26 / $331.80	Professional	50	$130.26	$130.26	$331.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,176.00 / $2,176.00 / $2,176.00	Facility		$2,176.00	$2,176.00	$2,176.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $106.56 / $161.82	Professional		$59.79	$106.56	$161.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.67 / $159.84 / $242.73	Professional	50	$92.67	$159.84	$242.73
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 $95.27 / $155.47 / $244.63	Professional		$95.27	$155.47	$244.63
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 $83.05 / $116.59 / $177.29	Professional		$83.05	$116.59	$177.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $153.22 / $153.22	Professional		$153.22	$153.22	$153.22
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 $85.18 / $175.21 / $286.58	Professional		$85.18	$175.21	$286.58