Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $3,691.00 / $7,629.00	Facility		$140.13	$3,691.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $940.11 / $1,182.73 / $5,244.60	Facility	50	$940.11	$1,182.73	$5,244.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $84.51 / $234.71	Professional		$47.13	$84.51	$234.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.43 / $122.93 / $531.29	Professional	50	$34.43	$122.93	$531.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,412.00 / $2,412.00 / $2,412.00	Facility		$2,412.00	$2,412.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $92.69 / $136.19	Professional		$51.71	$92.69	$136.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.09 / $139.04 / $204.29	Professional	50	$78.09	$139.04	$204.29
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 $80.88 / $140.22 / $227.44	Professional		$80.88	$140.22	$227.44
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 $77.44 / $128.21 / $924.02	Professional		$77.44	$128.21	$924.02
Health New England Facility/Professional Facility Modifier Low / Median / High Price $381.14 / $381.14 / $381.14	Facility		$381.14	$381.14	$381.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $209.45 / $358.71	Professional		$155.78	$209.45	$358.71
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 $78.81 / $158.49 / $272.24	Professional		$78.81	$158.49	$272.24