Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.86 / $4,228.00 / $8,031.00	Facility		$540.86	$4,228.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $321.23 / $355.16 / $462.40	Facility	54	$321.23	$355.16	$462.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $326.72 / $792.23	Professional		$259.72	$326.72	$792.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $7,824.00 / $16,185.00	Facility		$5,410.00	$7,824.00	$16,185.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.52 / $532.51 / $735.76	Professional		$271.52	$532.51	$735.76
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 $371.93 / $523.30 / $784.45	Professional		$371.93	$523.30	$784.45
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 $282.64 / $446.26 / $558.88	Professional		$282.64	$446.26	$558.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $455.14 / $945.30 / $1,036.25	Professional		$455.14	$945.30	$1,036.25
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 $281.91 / $549.73 / $965.39	Professional		$281.91	$549.73	$965.39