Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.97 / $4,305.00 / $8,031.00	Facility		$615.97	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.71 / $367.12 / $490.56	Facility	54	$345.71	$367.12	$490.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.73 / $335.71 / $788.46	Professional		$271.73	$335.71	$788.46
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 $297.07 / $574.09 / $778.60	Professional		$297.07	$574.09	$778.60
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 $390.80 / $562.53 / $834.94	Professional		$390.80	$562.53	$834.94
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 $303.77 / $456.51 / $571.72	Professional		$303.77	$456.51	$571.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $500.00 / $685.29	Professional		$385.00	$500.00	$685.29
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 $296.08 / $590.58 / $1,030.98	Professional		$296.08	$590.58	$1,030.98