Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.65 / $4,305.00 / $8,031.00	Facility		$415.65	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $311.74 / $342.02 / $451.62	Facility	54	$311.74	$342.02	$451.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $308.14 / $716.23	Professional		$248.53	$308.14	$716.23
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 $267.20 / $517.17 / $708.35	Professional		$267.20	$517.17	$708.35
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 $343.65 / $512.24 / $765.74	Professional		$343.65	$512.24	$765.74
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 $280.70 / $425.25 / $532.57	Professional		$280.70	$425.25	$532.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $453.00 / $453.00 / $453.00	Professional		$453.00	$453.00	$453.00
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 $274.44 / $546.26 / $933.85	Professional		$274.44	$546.26	$933.85