Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.03 / $4,228.00 / $8,031.00	Facility		$205.03	$4,228.00	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,102.01 / $1,102.01 / $1,102.01	Facility	50	$1,102.01	$1,102.01	$1,102.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $190.37 / $692.00	Professional		$120.11	$190.37	$692.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $195.48 / $195.48 / $937.50	Professional	50	$195.48	$195.48	$937.50
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 $104.11 / $223.53 / $289.83	Professional		$104.11	$223.53	$289.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $156.16 / $335.30 / $434.75	Professional	50	$156.16	$335.30	$434.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $164.92 / $334.37	Professional		$103.51	$164.92	$334.37
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $95.60 / $158.26 / $186.75	Professional		$95.60	$158.26	$186.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $106.95 / $268.92	Professional		$85.23	$106.95	$268.92
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 $116.40 / $160.36 / $416.94	Professional		$116.40	$160.36	$416.94