Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.35 / $4,228.00 / $7,629.00	Facility		$409.35	$4,228.00	$7,629.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.00 / $249.04 / $332.29	Facility	54	$245.00	$249.04	$332.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $235.36 / $569.32	Professional		$188.73	$235.36	$569.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,714.00 / $15,501.00	Facility		$5,410.00	$7,714.00	$15,501.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $415.88 / $567.75	Professional		$215.20	$415.88	$567.75
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 $275.72 / $384.00 / $577.30	Professional		$275.72	$384.00	$577.30
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,340.80 / $1,643.00 / $1,677.00	Facility		$1,340.80	$1,643.00	$1,677.00
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $304.69 / $381.59	Professional		$204.52	$304.69	$381.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $686.68 / $731.47 / $746.95	Professional		$686.68	$731.47	$746.95
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 $197.50 / $405.90 / $691.82	Professional		$197.50	$405.90	$691.82