Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.01 / $4,722.42 / $9,479.00	Facility		$812.01	$4,722.42	$9,479.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $572.66 / $609.01 / $788.78	Facility	54	$572.66	$609.01	$788.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.36 / $605.54 / $1,538.00	Professional		$477.36	$605.54	$1,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,217.00 / $11,908.00 / $19,160.00	Facility		$8,217.00	$11,908.00	$19,160.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.91 / $937.85 / $1,295.83	Professional		$496.91	$937.85	$1,295.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.00 / $2,296.86 / $2,296.86	Facility		$843.00	$2,296.86	$2,296.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.40 / $930.98 / $1,348.89	Professional		$706.40	$930.98	$1,348.89
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 $483.54 / $827.21 / $1,103.40	Professional		$483.54	$827.21	$1,103.40
Health New England Facility/Professional Professional Modifier Low / Median / High Price $664.70 / $1,065.57 / $1,318.20	Professional		$664.70	$1,065.57	$1,318.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,210.00 / $7,760.00	Facility		$1,157.00	$4,210.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.82 / $922.61 / $1,648.96	Professional		$484.82	$922.61	$1,648.96