Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.07 / $4,450.00 / $8,031.00	Facility		$436.07	$4,450.00	$8,031.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $78.47 / $96.74 / $189.29	Facility	52	$78.47	$96.74	$189.29
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.39 / $38.69 / $75.72	Facility	53	$31.39	$38.69	$75.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $235.00 / $435.90	Professional		$112.32	$235.00	$435.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,217.00 / $10,234.00 / $11,908.00	Facility		$8,217.00	$10,234.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $296.20 / $575.96	Professional		$126.48	$296.20	$575.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $260.18 / $517.87	Professional		$135.00	$260.18	$517.87
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $324.73 / $324.73 / $346.41	Professional		$324.73	$324.73	$346.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $184.19 / $197.70 / $242.74	Professional		$184.19	$197.70	$242.74
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 $226.82 / $397.21 / $793.63	Professional		$226.82	$397.21	$793.63