Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.34 / $5,491.19 / $9,479.00	Facility		$903.34	$5,491.19	$9,479.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $964.11 / $3,517.47 / $7,958.25	Facility	50	$964.11	$3,517.47	$7,958.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $254.69 / $589.88	Professional		$139.41	$254.69	$589.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $442.41 / $442.41 / $442.41	Professional	50	$442.41	$442.41	$442.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,617.00 / $7,714.00 / $11,908.00	Facility		$2,617.00	$7,714.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $318.13 / $377.44	Professional		$151.33	$318.13	$377.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $220.18 / $477.19 / $566.16	Professional	50	$220.18	$477.19	$566.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $283.63 / $429.34	Professional		$194.22	$283.63	$429.34
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $244.60 / $269.12 / $269.12	Professional		$244.60	$269.12	$269.12
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,480.05 / $8,207.54 / $9,596.28	Facility		$1,480.05	$8,207.54	$9,596.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $209.66 / $209.66 / $419.32	Professional		$209.66	$209.66	$419.32
Health New England Facility/Professional Professional Modifier 50 Low / Median / High Price $209.67 / $209.67 / $209.67	Professional	50	$209.67	$209.67	$209.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,414.00 / $5,950.00 / $9,338.00	Facility		$3,414.00	$5,950.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $239.94 / $452.98	Professional		$158.41	$239.94	$452.98