Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.02 / $4,090.00 / $7,629.00	Facility		$167.02	$4,090.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $165.24 / $534.00	Professional		$92.35	$165.24	$534.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.94 / $56.17 / $108.39	Professional	52	$36.94	$56.17	$108.39
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 $82.95 / $124.48 / $186.42	Professional		$82.95	$124.48	$186.42
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 $86.36 / $142.09 / $257.00	Professional		$86.36	$142.09	$257.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $163.98 / $171.30	Professional		$139.38	$163.98	$171.30
Health New England Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $153.43 / $186.16	Professional		$130.41	$153.43	$186.16
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 $106.79 / $160.77 / $265.60	Professional		$106.79	$160.77	$265.60