Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.10 / $902.00 / $6,343.00	Facility		$201.10	$902.00	$6,343.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $92.06 / $110.87 / $148.32	Facility	54	$92.06	$110.87	$148.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $150.58 / $519.00	Professional		$93.85	$150.58	$519.00
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 $99.31 / $129.43 / $174.99	Professional		$99.31	$129.43	$174.99
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 $125.16 / $164.18 / $312.24	Professional		$125.16	$164.18	$312.24
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $94.82 / $142.08	Professional		$9.60	$94.82	$142.08
Health New England Facility/Professional Facility Modifier Low / Median / High Price $267.27 / $336.95 / $707.20	Facility		$267.27	$336.95	$707.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $150.00 / $232.47	Professional		$127.79	$150.00	$232.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,978.00 / $6,832.00	Facility		$1,347.00	$3,978.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $147.83 / $251.85	Professional		$99.00	$147.83	$251.85