Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.60 / $4,246.00 / $8,031.00	Facility		$224.60	$4,246.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $975.80 / $2,079.00 / $2,079.00	Facility	50	$975.80	$2,079.00	$2,079.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $158.06 / $438.46	Professional		$114.61	$158.06	$438.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.47 / $809.27 / $1,179.00	Professional	50	$342.47	$809.27	$1,179.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.35 / $213.51 / $399.16	Professional		$124.35	$213.51	$399.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $182.79 / $338.00 / $598.74	Professional	50	$182.79	$338.00	$598.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.14 / $217.14 / $550.00	Facility		$217.14	$217.14	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $257.20 / $372.56	Professional		$170.00	$257.20	$372.56
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,346.67 / $2,346.67 / $2,469.56	Facility		$2,346.67	$2,346.67	$2,469.56
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $241.85 / $279.57	Professional		$118.92	$241.85	$279.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $247.00 / $374.44	Professional		$247.00	$247.00	$374.44
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 $119.18 / $232.41 / $409.75	Professional		$119.18	$232.41	$409.75