Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.75 / $4,228.00 / $7,629.00	Facility		$276.75	$4,228.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,750.82 / $1,750.82 / $1,750.82	Facility	50	$1,750.82	$1,750.82	$1,750.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $195.77 / $345.70	Professional		$115.75	$195.77	$345.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,956.00	Facility		$5,410.00	$6,763.00	$10,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.86 / $181.61 / $244.92	Professional		$98.86	$181.61	$244.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $173.13 / $382.74	Professional		$86.60	$173.13	$382.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $215.00 / $308.52	Professional		$129.63	$215.00	$308.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $66.65 / $66.65	Professional		$66.65	$66.65	$66.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,414.00 / $5,950.00 / $9,338.00	Facility		$3,414.00	$5,950.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $226.63 / $530.54	Professional		$157.66	$226.63	$530.54