Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.16 / $4,305.00 / $8,031.00	Facility		$224.16	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,079.00 / $2,079.00 / $4,377.39	Facility	50	$2,079.00	$2,079.00	$4,377.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $195.33 / $455.22	Professional		$108.73	$195.33	$455.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $762.54 / $798.45 / $1,212.03	Professional	50	$762.54	$798.45	$1,212.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $253.21 / $422.88	Professional		$120.43	$253.21	$422.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $178.38 / $379.82 / $634.33	Professional	50	$178.38	$379.82	$634.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $466.17 / $550.00	Facility		$466.17	$466.17	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.49 / $307.14 / $625.26	Professional		$169.49	$307.14	$625.26
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 $213.01 / $315.67 / $390.67	Professional		$213.01	$315.67	$390.67
Health New England Facility/Professional Professional Modifier Low / Median / High Price $5,926.20 / $5,926.20 / $5,926.20	Professional		$5,926.20	$5,926.20	$5,926.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,210.00 / $7,760.00	Facility		$1,157.00	$4,210.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.65 / $397.35 / $734.37	Professional		$221.65	$397.35	$734.37