Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.81 / $4,531.00 / $7,629.00	Facility		$739.81	$4,531.00	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $121.47 / $125.02 / $228.44	Facility	52	$121.47	$125.02	$228.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $300.23 / $456.87	Professional		$129.99	$300.23	$456.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,034.00 / $5,293.04 / $8,931.00	Facility		$3,034.00	$5,293.04	$8,931.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.16 / $339.64 / $730.04	Professional		$176.16	$339.64	$730.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.25 / $319.13 / $624.64	Professional		$216.25	$319.13	$624.64
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $424.32 / $424.32 / $436.65	Professional		$424.32	$424.32	$436.65
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,956.28 / $1,956.28 / $2,756.58	Facility		$1,956.28	$1,956.28	$2,756.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,414.00 / $5,950.00 / $9,338.00	Facility		$3,414.00	$5,950.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.50 / $405.23 / $704.45	Professional		$265.50	$405.23	$704.45