Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.47 / $4,280.34 / $8,031.00	Facility		$458.47	$4,280.34	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $260.52 / $269.00 / $354.59	Facility	54	$260.52	$269.00	$354.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $243.61 / $588.80	Professional		$200.02	$243.61	$588.80
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 $228.37 / $441.63 / $610.20	Professional		$228.37	$441.63	$610.20
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 $308.58 / $410.20 / $610.82	Professional		$308.58	$410.20	$610.82
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 $214.47 / $324.11 / $405.90	Professional		$214.47	$324.11	$405.90
Health New England Facility/Professional Professional Modifier Low / Median / High Price $796.30 / $796.30 / $796.30	Professional		$796.30	$796.30	$796.30
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 $209.00 / $407.55 / $726.14	Professional		$209.00	$407.55	$726.14