Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.12 / $4,280.34 / $8,031.00	Facility		$589.12	$4,280.34	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $340.82 / $373.94 / $489.05	Facility	54	$340.82	$373.94	$489.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.43 / $334.69 / $791.65	Professional		$273.43	$334.69	$791.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,714.00 / $14,186.00	Facility		$5,410.00	$7,714.00	$14,186.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.79 / $567.71 / $784.41	Professional		$287.79	$567.71	$784.41
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 $397.44 / $560.39 / $830.60	Professional		$397.44	$560.39	$830.60
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 $302.50 / $471.12 / $590.02	Professional		$302.50	$471.12	$590.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $484.98 / $484.98 / $484.98	Professional		$484.98	$484.98	$484.98
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 $299.11 / $560.84 / $1,027.43	Professional		$299.11	$560.84	$1,027.43