Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.46 / $4,305.00 / $8,031.00	Facility		$484.46	$4,305.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $331.44 / $363.35 / $478.17	Facility	54	$331.44	$363.35	$478.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.45 / $328.76 / $773.46	Professional		$258.45	$328.76	$773.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,483.00 / $11,797.00	Facility		$5,410.00	$7,483.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.32 / $547.87 / $757.00	Professional		$282.32	$547.87	$757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.26 / $353.26 / $550.00	Facility		$353.26	$353.26	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.04 / $539.26 / $812.86	Professional		$380.04	$539.26	$812.86
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 $295.92 / $454.38 / $569.05	Professional		$295.92	$454.38	$569.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $953.56 / $953.56 / $953.56	Professional		$953.56	$953.56	$953.56
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 $289.55 / $564.63 / $986.10	Professional		$289.55	$564.63	$986.10