Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.64 / $3,775.20 / $7,629.00	Facility		$348.64	$3,775.20	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.50 / $2,843.61 / $6,259.19	Facility	50	$954.50	$2,843.61	$6,259.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $159.12 / $460.53	Professional		$82.95	$159.12	$460.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.65 / $305.27 / $1,008.41	Professional	50	$73.65	$305.27	$1,008.41
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 $90.19 / $166.63 / $242.30	Professional		$90.19	$166.63	$242.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $140.31 / $249.95 / $363.45	Professional	50	$140.31	$249.95	$363.45
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 $148.77 / $261.79 / $446.43	Professional		$148.77	$261.79	$446.43
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 $151.99 / $258.37 / $981.77	Professional		$151.99	$258.37	$981.77
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,955.05 / $1,955.05 / $4,872.39	Facility		$1,955.05	$1,955.05	$4,872.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $278.66 / $423.61 / $703.84	Professional		$278.66	$423.61	$703.84
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 $164.33 / $332.21 / $524.32	Professional		$164.33	$332.21	$524.32