Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.53 / $4,280.34 / $8,031.00	Facility		$369.53	$4,280.34	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.49 / $243.54 / $308.81	Facility	54	$216.49	$243.54	$308.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.70 / $219.67 / $502.11	Professional		$169.70	$219.67	$502.11
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 $177.89 / $360.34 / $497.88	Professional		$177.89	$360.34	$497.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $353.26 / $353.26	Facility		$50.00	$353.26	$353.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.24 / $351.69 / $525.10	Professional		$262.24	$351.69	$525.10
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 $189.25 / $305.60 / $382.72	Professional		$189.25	$305.60	$382.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $290.93 / $290.93 / $290.93	Professional		$290.93	$290.93	$290.93
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 $189.98 / $391.83 / $645.21	Professional		$189.98	$391.83	$645.21