Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.94 / $4,305.00 / $8,031.00	Facility		$392.94	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $266.83 / $294.70 / $390.41	Facility	54	$266.83	$294.70	$390.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $266.22 / $625.94	Professional		$213.16	$266.22	$625.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,483.00 / $19,160.00	Facility		$5,410.00	$7,483.00	$19,160.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.38 / $443.29 / $604.01	Professional		$229.38	$443.29	$604.01
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 $298.44 / $439.98 / $660.02	Professional		$298.44	$439.98	$660.02
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 $242.76 / $365.16 / $457.31	Professional		$242.76	$365.16	$457.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $399.60 / $399.60 / $844.29	Professional		$399.60	$399.60	$844.29
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 $232.13 / $418.72 / $802.66	Professional		$232.13	$418.72	$802.66