Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.22 / $4,305.00 / $8,031.00	Facility		$462.22	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $318.80 / $346.67 / $447.41	Facility	54	$318.80	$346.67	$447.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $304.49 / $674.09	Professional		$252.78	$304.49	$674.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $11,797.00	Facility		$5,410.00	$6,763.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.67 / $527.66 / $722.07	Professional		$289.67	$527.66	$722.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.26 / $353.26 / $550.00	Facility		$353.26	$353.26	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.11 / $496.06 / $768.26	Professional		$314.11	$496.06	$768.26
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.87 / $1,643.00 / $1,677.00	Facility		$1,005.87	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $394.04 / $536.29	Professional		$275.20	$394.04	$536.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $594.04 / $594.04 / $594.04	Professional		$594.04	$594.04	$594.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $3,075.00 / $6,664.00	Facility		$1,380.00	$3,075.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.80 / $528.05 / $938.16	Professional		$270.80	$528.05	$938.16