Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.70 / $6,040.31 / $10,492.00	Facility		$957.70	$6,040.31	$10,492.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,058.90 / $5,836.06 / $7,735.50	Facility	50	$2,058.90	$5,836.06	$7,735.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.61 / $815.51 / $1,652.65	Professional		$607.61	$815.51	$1,652.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $406.75 / $1,232.98 / $4,635.81	Professional	50	$406.75	$1,232.98	$4,635.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,217.00 / $8,931.00 / $11,908.00	Facility		$8,217.00	$8,931.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.99 / $941.16 / $1,159.05	Professional		$444.99	$941.16	$1,159.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $667.48 / $1,365.80 / $1,738.58	Professional	50	$667.48	$1,365.80	$1,738.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.28 / $821.44 / $1,592.97	Professional		$453.28	$821.44	$1,592.97
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $465.93 / $771.70 / $1,002.15	Professional		$465.93	$771.70	$1,002.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $533.74 / $533.74 / $533.74	Professional		$533.74	$533.74	$533.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $7,010.00 / $11,152.00	Facility		$4,565.00	$7,010.00	$11,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.52 / $792.17 / $1,873.43	Professional		$590.52	$792.17	$1,873.43