Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.48 / $4,305.00 / $9,035.00	Facility		$281.48	$4,305.00	$9,035.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,017.04 / $3,171.00 / $8,767.59	Facility	50	$2,017.04	$3,171.00	$8,767.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $170.56 / $419.11	Professional		$54.79	$170.56	$419.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.33 / $140.96 / $663.13	Professional	50	$83.33	$140.96	$663.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $118.36 / $248.73	Professional		$59.96	$118.36	$248.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.94 / $177.54 / $361.56	Professional	50	$89.94	$177.54	$361.56
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 $95.45 / $169.48 / $480.20	Professional		$95.45	$169.48	$480.20
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 $200.91 / $277.33 / $343.23	Professional		$200.91	$277.33	$343.23
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,981.16 / $2,981.16 / $2,981.16	Facility		$2,981.16	$2,981.16	$2,981.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $260.57 / $699.05 / $699.05	Professional		$260.57	$699.05	$699.05
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 $153.62 / $308.56 / $700.31	Professional		$153.62	$308.56	$700.31