Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.52 / $3,777.17 / $7,629.00	Facility		$475.52	$3,777.17	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,954.39 / $4,954.39 / $4,954.39	Facility	50	$4,954.39	$4,954.39	$4,954.39
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $283.06 / $335.84 / $356.64	Facility	54	$283.06	$335.84	$356.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.70 / $386.80 / $1,407.59	Professional		$280.70	$386.80	$1,407.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.37 / $2,704.50 / $2,704.50	Professional	50	$481.37	$2,704.50	$2,704.50
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $210.53 / $283.06 / $516.36	Professional	54	$210.53	$283.06	$516.36
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $42.11 / $56.61 / $103.27	Professional	55	$42.11	$56.61	$103.27
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 $208.48 / $442.51 / $573.77	Professional		$208.48	$442.51	$573.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $312.72 / $663.77 / $860.65	Professional	50	$312.72	$663.77	$860.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $483.41 / $762.41	Professional		$217.80	$483.41	$762.41
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $211.98 / $350.87 / $633.35	Professional		$211.98	$350.87	$633.35
Health New England Facility/Professional Professional Modifier Low / Median / High Price $423.10 / $645.11 / $652.34	Professional		$423.10	$645.11	$652.34
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 $282.00 / $414.71 / $884.85	Professional		$282.00	$414.71	$884.85