Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,677.35 / $8,511.38	Facility		$776.25	$4,677.35	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $3,548.13 / $7,762.47	Facility	50	$954.99	$3,548.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $467.74	Professional		$144.54	$186.21	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $436.52 / $676.08	Professional	50	$158.49	$436.52	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $10,964.78	Facility		$3,467.37	$4,168.69	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $380.19	Professional		$141.25	$302.00	$380.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $457.09 / $562.34	Professional	50	$208.93	$457.09	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $398.11	Professional		$186.21	$281.84	$398.11
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Health New England Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $9,549.93	Facility		$933.25	$1,380.38	$9,549.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $436.52 / $457.09	Professional		$208.93	$436.52	$457.09
Health New England Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $346.74	Professional	50	$208.93	$208.93	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,025.60 / $9,332.54	Facility		$3,388.44	$6,025.60	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $436.52	Professional		$141.25	$218.78	$436.52