Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.47 / $4,722.42 / $8,031.00	Facility		$375.47	$4,722.42	$8,031.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.20 / $59.90 / $190.60	Facility	52	$58.20	$59.90	$190.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $190.24 / $596.95	Professional		$75.06	$190.24	$596.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $58.20 / $133.37 / $434.10	Professional	52	$58.20	$133.37	$434.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,826.00 / $4,727.00 / $10,000.00	Facility		$2,826.00	$4,727.00	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $188.07 / $442.72	Professional		$88.24	$188.07	$442.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $228.99 / $473.32	Professional		$104.14	$228.99	$473.32
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $287.62 / $318.07	Professional		$114.00	$287.62	$318.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $139.75 / $187.90 / $453.66	Professional		$139.75	$187.90	$453.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.89 / $308.47 / $546.23	Professional		$195.89	$308.47	$546.23