Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.11 / $3,777.17 / $7,629.00	Facility		$649.11	$3,777.17	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $68.34 / $78.34 / $324.56	Facility	52	$68.34	$78.34	$324.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.34 / $31.34 / $129.82	Facility	53	$27.34	$31.34	$129.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $312.64 / $649.11	Professional		$81.62	$312.64	$649.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,786.00 / $8,931.00 / $11,908.00	Facility		$5,786.00	$8,931.00	$11,908.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.95 / $339.20 / $925.93	Professional		$123.95	$339.20	$925.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $288.10 / $901.14	Professional		$128.03	$288.10	$901.14
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $537.55 / $537.55 / $613.91	Professional		$537.55	$537.55	$613.91
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,215.97 / $1,215.97 / $1,215.97	Facility		$1,215.97	$1,215.97	$1,215.97
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 $429.23 / $728.33 / $1,291.03	Professional		$429.23	$728.33	$1,291.03