Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.75 / $3,691.00 / $7,629.00	Facility		$161.75	$3,691.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $20.70 / $40.81	Professional		$11.46	$20.70	$40.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.46 / $104.46 / $246.04	Professional	50	$104.46	$104.46	$246.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.75 / $10.35 / $16.71	Professional	52	$7.75	$10.35	$16.71
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $3.10 / $4.13 / $6.68	Professional	53	$3.10	$4.13	$6.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,824.00 / $8,848.00 / $11,797.00	Facility		$7,824.00	$8,848.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $26.92 / $33.40	Professional		$16.03	$26.92	$33.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.76 / $40.38 / $48.56	Professional	50	$23.76	$40.38	$48.56
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 $17.64 / $24.58 / $41.63	Professional		$17.64	$24.58	$41.63
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $26.53 / $26.53	Professional		$19.16	$26.53	$26.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $52.71 / $151.88	Professional		$20.92	$52.71	$151.88
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 $14.54 / $22.86 / $45.62	Professional		$14.54	$22.86	$45.62