Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.40 / $4,280.34 / $8,031.00	Facility		$401.40	$4,280.34	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.83 / $280.45 / $361.29	Facility	54	$255.83	$280.45	$361.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $253.24 / $610.46	Professional		$202.76	$253.24	$610.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,786.00 / $8,848.00 / $29,890.00	Facility		$5,786.00	$8,848.00	$29,890.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.83 / $424.98 / $587.20	Professional		$213.83	$424.98	$587.20
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 $313.99 / $413.77 / $618.83	Professional		$313.99	$413.77	$618.83
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 $222.09 / $352.82 / $441.86	Professional		$222.09	$352.82	$441.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $364.54 / $364.54 / $364.54	Professional		$364.54	$364.54	$364.54
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 $222.02 / $456.31 / $752.28	Professional		$222.02	$456.31	$752.28