Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.44 / $4,228.00 / $8,031.00	Facility		$442.44	$4,228.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $269.83 / $294.07 / $389.57	Facility	54	$269.83	$294.07	$389.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $275.14 / $657.66	Professional		$215.47	$275.14	$657.66
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 $232.04 / $448.43 / $612.85	Professional		$232.04	$448.43	$612.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $353.26 / $353.26	Facility		$50.00	$353.26	$353.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.04 / $440.63 / $657.43	Professional		$296.04	$440.63	$657.43
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 $242.24 / $365.22 / $457.39	Professional		$242.24	$365.22	$457.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $780.78 / $780.78 / $780.78	Professional		$780.78	$780.78	$780.78
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 $235.49 / $446.88 / $763.92	Professional		$235.49	$446.88	$763.92