Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.05 / $4,189.00 / $7,629.00	Facility		$212.05	$4,189.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $774.22 / $2,079.00 / $4,398.00	Facility	50	$774.22	$2,079.00	$4,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $134.08 / $394.52	Professional		$97.59	$134.08	$394.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $330.10 / $796.50 / $906.00	Professional	50	$330.10	$796.50	$906.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,824.00 / $8,848.00 / $11,797.00	Facility		$7,824.00	$8,848.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $186.39 / $252.59	Professional		$113.67	$186.39	$252.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $171.75 / $279.58 / $378.89	Professional	50	$171.75	$279.58	$378.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $189.66 / $843.00	Facility		$50.00	$189.66	$843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $217.94 / $345.27	Professional		$149.97	$217.94	$345.27
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 $120.86 / $170.19 / $210.63	Professional		$120.86	$170.19	$210.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $335.74 / $1,274.06	Professional		$190.61	$335.74	$1,274.06
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 $118.78 / $208.52 / $414.32	Professional		$118.78	$208.52	$414.32