Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.96 / $4,450.00 / $9,035.00	Facility		$685.96	$4,450.00	$9,035.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,943.00 / $7,778.97 / $9,510.00	Facility	50	$1,943.00	$7,778.97	$9,510.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.72 / $409.99 / $897.92	Professional		$207.72	$409.99	$897.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $345.12 / $551.65 / $1,997.78	Professional	50	$345.12	$551.65	$1,997.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,217.00 / $8,931.00 / $11,908.00	Facility		$8,217.00	$8,931.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.77 / $412.39 / $570.99	Professional		$198.77	$412.39	$570.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $298.14 / $618.59 / $856.49	Professional	50	$298.14	$618.59	$856.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $2,534.25 / $2,534.25	Facility		$843.00	$2,534.25	$2,534.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.16 / $579.37 / $994.16	Professional		$355.16	$579.37	$994.16
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 $368.45 / $666.01 / $2,595.06	Professional		$368.45	$666.01	$2,595.06
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,746.60 / $3,746.60 / $3,746.60	Facility		$3,746.60	$3,746.60	$3,746.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $367.65 / $367.65 / $3,982.50	Professional		$367.65	$367.65	$3,982.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $6,647.00 / $9,973.00	Facility		$4,565.00	$6,647.00	$9,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.17 / $740.10 / $1,270.19	Professional		$374.17	$740.10	$1,270.19