Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.81 / $4,090.00 / $7,629.00	Facility		$482.81	$4,090.00	$7,629.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.11 / $369.20 / $497.02	Facility	54	$336.11	$369.20	$497.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.69 / $334.01 / $806.63	Professional		$241.69	$334.01	$806.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,108.61 / $1,108.61 / $1,108.61	Professional	50	$1,108.61	$1,108.61	$1,108.61
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $211.56 / $276.58 / $619.86	Professional	54	$211.56	$276.58	$619.86
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 $305.52 / $590.44 / $800.78	Professional		$305.52	$590.44	$800.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $458.28 / $885.66 / $1,201.17	Professional	50	$458.28	$885.66	$1,201.17
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 $337.39 / $553.07 / $849.90	Professional		$337.39	$553.07	$849.90
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 $309.07 / $421.03 / $513.66	Professional		$309.07	$421.03	$513.66
Health New England Facility/Professional Professional Modifier Low / Median / High Price $449.43 / $682.42 / $682.42	Professional		$449.43	$682.42	$682.42
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 $298.57 / $582.21 / $1,024.69	Professional		$298.57	$582.21	$1,024.69