Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.62 / $396.32 / $8,031.00	Facility		$131.62	$396.32	$8,031.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $546.29 / $546.29 / $546.29	Facility	50	$546.29	$546.29	$546.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $123.44 / $171.43	Professional		$53.68	$123.44	$171.43
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 $49.41 / $109.49 / $145.77	Professional		$49.41	$109.49	$145.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.11 / $164.24 / $218.66	Professional	50	$74.11	$164.24	$218.66
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 $76.58 / $124.95 / $215.94	Professional		$76.58	$124.95	$215.94
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $134.78 / $134.78 / $187.82	Professional		$134.78	$134.78	$187.82
Health New England Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $154.41 / $154.41	Facility		$154.41	$154.41	$154.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $103.95 / $154.83	Professional		$103.95	$103.95	$154.83
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 $83.37 / $144.69 / $229.03	Professional		$83.37	$144.69	$229.03