Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.84 / $4,450.00 / $9,035.00	Facility		$823.84	$4,450.00	$9,035.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,037.44 / $5,111.87 / $9,510.00	Facility	50	$2,037.44	$5,111.87	$9,510.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.92 / $407.68 / $972.30	Professional		$203.92	$407.68	$972.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.98 / $711.87 / $1,974.32	Professional	50	$315.98	$711.87	$1,974.32
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 $199.13 / $408.82 / $559.44	Professional		$199.13	$408.82	$559.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $297.92 / $607.39 / $839.16	Professional	50	$297.92	$607.39	$839.16
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 $349.70 / $575.51 / $985.07	Professional		$349.70	$575.51	$985.07
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $2,458.67 / $2,935.00 / $2,995.00	Facility		$2,458.67	$2,935.00	$2,995.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $371.58 / $654.46 / $1,139.96	Professional		$371.58	$654.46	$1,139.96
Health New England Facility/Professional Facility Modifier Low / Median / High Price $5,962.32 / $5,962.32 / $5,962.32	Facility		$5,962.32	$5,962.32	$5,962.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $858.77 / $1,684.42 / $1,684.42	Professional		$858.77	$1,684.42	$1,684.42
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 $370.14 / $727.31 / $1,272.71	Professional		$370.14	$727.31	$1,272.71