Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.87 / $3,863.00 / $7,629.00	Facility		$673.87	$3,863.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,572.14 / $2,572.14 / $2,572.14	Facility	50	$2,572.14	$2,572.14	$2,572.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.46 / $103.17 / $263.19	Facility	52	$100.46	$103.17	$263.19
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $40.18 / $41.27 / $105.28	Facility	53	$40.18	$41.27	$105.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $458.15 / $719.84	Professional		$114.86	$458.15	$719.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,786.00 / $7,824.00 / $11,797.00	Facility		$5,786.00	$7,824.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $306.29 / $1,579.78	Professional		$138.69	$306.29	$1,579.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $345.08 / $1,249.44	Professional		$155.84	$345.08	$1,249.44
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $511.82 / $511.82 / $925.44	Professional		$511.82	$511.82	$925.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $229.56 / $945.00	Professional		$105.00	$229.56	$945.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,849.00 / $4,647.00 / $9,338.00	Facility		$1,849.00	$4,647.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.47 / $611.37 / $1,016.87	Professional		$348.47	$611.37	$1,016.87