Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.17 / $4,090.00 / $8,031.00	Facility		$414.17	$4,090.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $310.63 / $330.41 / $441.82	Facility	54	$310.63	$330.41	$441.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.84 / $303.60 / $711.16	Professional		$244.84	$303.60	$711.16
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $189.53 / $239.45 / $556.66	Professional	54	$189.53	$239.45	$556.66
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 $270.51 / $522.78 / $709.01	Professional		$270.51	$522.78	$709.01
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 $294.83 / $480.66 / $756.31	Professional		$294.83	$480.66	$756.31
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 $275.08 / $391.01 / $507.98	Professional		$275.08	$391.01	$507.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $435.42 / $450.96 / $512.26	Professional		$435.42	$450.96	$512.26
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 $262.74 / $519.80 / $863.81	Professional		$262.74	$519.80	$863.81