Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.25 / $4,136.00 / $7,629.00	Facility		$231.25	$4,136.00	$7,629.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $135.53 / $139.57 / $176.50	Facility	54	$135.53	$139.57	$176.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $125.48 / $309.33	Professional		$102.88	$125.48	$309.33
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $79.36 / $97.07 / $243.32	Professional	54	$79.36	$97.07	$243.32
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 $111.34 / $223.86 / $306.87	Professional		$111.34	$223.86	$306.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $219.80 / $219.80	Facility		$50.00	$219.80	$219.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $218.92 / $310.30	Professional		$147.84	$218.92	$310.30
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 $108.59 / $163.85 / $215.09	Professional		$108.59	$163.85	$215.09
Health New England Facility/Professional Facility Modifier Low / Median / High Price $467.34 / $467.34 / $467.34	Facility		$467.34	$467.34	$467.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $153.06 / $232.24 / $392.83	Professional		$153.06	$232.24	$392.83
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 $108.60 / $211.77 / $369.60	Professional		$108.60	$211.77	$369.60