Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.84 / $4,530.56 / $7,629.00	Facility		$390.84	$4,530.56	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,271.08 / $1,271.08 / $1,271.08	Facility	50	$1,271.08	$1,271.08	$1,271.08
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.46 / $293.13 / $354.22	Facility	54	$248.46	$293.13	$354.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.19 / $390.84 / $1,312.79	Professional		$310.19	$390.84	$1,312.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $501.82 / $522.73 / $2,233.42	Professional	50	$501.82	$522.73	$2,233.42
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $215.02 / $293.13 / $693.47	Professional	54	$215.02	$293.13	$693.47
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $43.00 / $51.06 / $104.89	Professional	55	$43.00	$51.06	$104.89
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 $179.94 / $388.88 / $670.43	Professional		$179.94	$388.88	$670.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $269.91 / $583.32 / $1,005.64	Professional	50	$269.91	$583.32	$1,005.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.07 / $403.73 / $623.95	Professional		$206.07	$403.73	$623.95
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $174.23 / $303.00 / $533.16	Professional		$174.23	$303.00	$533.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $346.35 / $519.52 / $921.59	Professional		$346.35	$519.52	$921.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,849.00 / $4,647.00 / $9,338.00	Facility		$1,849.00	$4,647.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.79 / $352.98 / $726.63	Professional		$230.79	$352.98	$726.63