Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.11 / $4,228.00 / $8,031.00	Facility		$544.11	$4,228.00	$8,031.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.27 / $986.81 / $1,849.22	Professional		$404.27	$986.81	$1,849.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,035.66 / $1,035.66 / $1,035.66	Professional	50	$1,035.66	$1,035.66	$1,035.66
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 $265.38 / $573.53 / $2,261.05	Professional		$265.38	$573.53	$2,261.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $398.07 / $860.29 / $3,391.58	Professional	50	$398.07	$860.29	$3,391.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $895.64 / $1,641.40	Professional		$282.80	$895.64	$1,641.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $241.16 / $878.75 / $1,644.69	Professional		$241.16	$878.75	$1,644.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $477.05 / $492.36 / $2,326.09	Professional		$477.05	$492.36	$2,326.09
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 $318.66 / $559.41 / $1,294.40	Professional		$318.66	$559.41	$1,294.40