Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.58 / $3,180.75 / $7,629.00	Facility		$467.58	$3,180.75	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $214.41 / $233.79 / $314.64	Facility	52	$214.41	$233.79	$314.64
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $321.61 / $350.69 / $1,273.32	Facility	54	$321.61	$350.69	$1,273.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.64 / $316.27 / $812.17	Professional		$249.64	$316.27	$812.17
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 $285.86 / $543.07 / $736.53	Professional		$285.86	$543.07	$736.53
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 $359.12 / $511.95 / $819.75	Professional		$359.12	$511.95	$819.75
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 $302.30 / $420.44 / $526.54	Professional		$302.30	$420.44	$526.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $357.29 / $420.34 / $738.94	Professional		$357.29	$420.34	$738.94
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 $283.29 / $559.00 / $974.06	Professional		$283.29	$559.00	$974.06