Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.34 / $4,280.34 / $8,031.00	Facility		$563.34	$4,280.34	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.52 / $340.16 / $452.12	Facility	54	$315.52	$340.16	$452.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.81 / $361.46 / $798.51	Professional		$265.81	$361.46	$798.51
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 $271.70 / $534.42 / $738.43	Professional		$271.70	$534.42	$738.43
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 $406.19 / $577.92 / $782.90	Professional		$406.19	$577.92	$782.90
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 $279.73 / $562.92 / $655.39	Professional		$279.73	$562.92	$655.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $879.69 / $1,021.74 / $1,159.13	Professional		$879.69	$1,021.74	$1,159.13
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 $272.86 / $545.73 / $952.55	Professional		$272.86	$545.73	$952.55