Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.43 / $4,136.00 / $10,492.00	Facility		$162.43	$4,136.00	$10,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $160.09 / $583.82	Professional		$91.27	$160.09	$583.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.09 / $226.91 / $718.99	Professional	50	$164.09	$226.91	$718.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,646.00 / $8,848.00 / $48,249.00	Facility		$5,646.00	$8,848.00	$48,249.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $172.63 / $234.72	Professional		$79.88	$172.63	$234.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.82 / $258.94 / $352.08	Professional	50	$119.82	$258.94	$352.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $208.94 / $398.01	Professional		$88.56	$208.94	$398.01
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $340.98 / $532.33	Professional		$133.63	$340.98	$532.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $500.00 / $1,364.87	Professional		$164.12	$500.00	$1,364.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $167.15 / $368.52	Professional		$93.87	$167.15	$368.52