Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.24 / $4,450.00 / $9,035.00	Facility		$309.24	$4,450.00	$9,035.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,343.94 / $4,056.28 / $6,371.91	Facility	50	$3,343.94	$4,056.28	$6,371.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $189.33 / $445.34	Professional		$62.36	$189.33	$445.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $148.54 / $161.90 / $211.03	Professional	50	$148.54	$161.90	$211.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $136.12 / $263.20	Professional		$68.59	$136.12	$263.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.90 / $204.10 / $382.60	Professional	50	$102.90	$204.10	$382.60
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 $109.31 / $191.85 / $521.90	Professional		$109.31	$191.85	$521.90
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 $214.00 / $307.99 / $751.02	Professional		$214.00	$307.99	$751.02
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 $110.35 / $110.35 / $1,038.75	Professional		$110.35	$110.35	$1,038.75
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 $168.33 / $354.28 / $744.19	Professional		$168.33	$354.28	$744.19