Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,993.00 / $5,236.00 / $8,849.75	Facility		$2,993.00	$5,236.00	$8,849.75
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.45 / $61.56 / $176.96	Facility	53	$42.45	$61.56	$176.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.40 / $602.25 / $884.79	Professional		$160.40	$602.25	$884.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,596.00 / $4,612.00 / $10,956.00	Facility		$3,596.00	$4,612.00	$10,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $402.14 / $1,053.06	Professional		$164.94	$402.14	$1,053.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.92 / $699.38 / $1,527.61	Professional		$284.92	$699.38	$1,527.61
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $703.19 / $1,782.86 / $1,875.77	Professional		$703.19	$1,782.86	$1,875.77
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,760.12 / $3,760.12 / $4,275.20	Facility		$3,760.12	$3,760.12	$4,275.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $389.36 / $389.36 / $389.36	Professional		$389.36	$389.36	$389.36
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 $583.37 / $926.46 / $1,631.74	Professional		$583.37	$926.46	$1,631.74