Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.64 / $2,128.00 / $5,194.00	Facility		$407.64	$2,128.00	$5,194.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $169.55 / $194.51 / $305.89	Facility	54	$169.55	$194.51	$305.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.22 / $259.35 / $846.00	Professional		$157.22	$259.35	$846.00
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 $172.44 / $235.68 / $297.95	Professional		$172.44	$235.68	$297.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $258.66 / $353.53 / $431.02	Professional	50	$258.66	$353.53	$431.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.65 / $287.77 / $531.40	Professional		$198.65	$287.77	$531.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $190.62 / $234.27 / $33,999.66	Professional		$190.62	$234.27	$33,999.66
Health New England Facility/Professional Facility Modifier Low / Median / High Price $282.86 / $282.86 / $537.54	Facility		$282.86	$282.86	$537.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $298.58 / $298.58 / $298.58	Professional		$298.58	$298.58	$298.58
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 $174.11 / $243.76 / $424.76	Professional		$174.11	$243.76	$424.76