Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.55 / $4,228.00 / $8,031.00	Facility		$696.55	$4,228.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $473.15 / $522.41 / $687.08	Facility	54	$473.15	$522.41	$687.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.50 / $474.90 / $1,121.39	Professional		$393.50	$474.90	$1,121.39
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 $439.91 / $801.40 / $1,107.29	Professional		$439.91	$801.40	$1,107.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,296.86 / $2,296.86	Facility		$550.00	$2,296.86	$2,296.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.73 / $785.77 / $1,166.94	Professional		$590.73	$785.77	$1,166.94
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 $425.50 / $670.78 / $840.07	Professional		$425.50	$670.78	$840.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,063.95 / $1,063.95 / $1,063.95	Professional		$1,063.95	$1,063.95	$1,063.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,210.00 / $7,760.00	Facility		$1,157.00	$4,210.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.52 / $831.02 / $1,329.91	Professional		$413.52	$831.02	$1,329.91