Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.77 / $4,450.00 / $8,031.00	Facility		$524.77	$4,450.00	$8,031.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.63 / $82.31 / $262.38	Facility	52	$65.63	$82.31	$262.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.25 / $32.92 / $104.95	Facility	53	$26.25	$32.92	$104.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $216.03 / $443.34	Professional		$97.80	$216.03	$443.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $4,203.74 / $7,588.00	Facility		$2,402.00	$4,203.74	$7,588.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $295.33 / $628.46	Professional		$102.48	$295.33	$628.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $1,121.14 / $2,687.00	Facility		$767.00	$1,121.14	$2,687.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $254.43 / $616.19	Professional		$125.20	$254.43	$616.19
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $549.19 / $886.65 / $1,552.85	Facility		$549.19	$886.65	$1,552.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $303.76 / $419.64 / $740.46	Professional		$303.76	$419.64	$740.46
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $204.25 / $204.25	Professional		$48.23	$204.25	$204.25
United Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $5,307.00 / $8,879.00	Facility		$911.00	$5,307.00	$8,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.85 / $381.23 / $1,030.92	Professional		$217.85	$381.23	$1,030.92