Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.09 / $4,228.00 / $8,031.00	Facility		$329.09	$4,228.00	$8,031.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.26 / $246.82 / $319.87	Facility	54	$230.26	$246.82	$319.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $226.07 / $552.66	Professional		$176.09	$226.07	$552.66
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $140.76 / $169.55 / $403.86	Professional	54	$140.76	$169.55	$403.86
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 $190.77 / $368.67 / $500.00	Professional		$190.77	$368.67	$500.00
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 $266.14 / $373.31 / $547.23	Professional		$266.14	$373.31	$547.23
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 $194.74 / $301.85 / $378.03	Professional		$194.74	$301.85	$378.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $288.42 / $697.00 / $716.96	Professional		$288.42	$697.00	$716.96
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 $196.07 / $402.97 / $662.83	Professional		$196.07	$402.97	$662.83