Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.48 / $4,305.00 / $8,031.00	Facility		$435.48	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $294.70 / $326.61 / $430.03	Facility	54	$294.70	$326.61	$430.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $291.76 / $697.23	Professional		$230.15	$291.76	$697.23
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 $254.28 / $487.39 / $672.09	Professional		$254.28	$487.39	$672.09
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 $338.13 / $485.07 / $727.59	Professional		$338.13	$485.07	$727.59
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 $266.70 / $407.62 / $510.49	Professional		$266.70	$407.62	$510.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $880.48 / $880.48 / $880.48	Professional		$880.48	$880.48	$880.48
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 $261.83 / $511.65 / $892.21	Professional		$261.83	$511.65	$892.21