Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.83 / $3,711.00 / $7,629.00	Facility		$1,120.83	$3,711.00	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.28 / $189.96 / $2,204.11	Facility	52	$92.28	$189.96	$2,204.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.90 / $46.09 / $119.08	Facility	53	$36.90	$46.09	$119.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.21 / $272.35 / $562.60	Professional		$130.21	$272.35	$562.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,395.00 / $3,456.07 / $6,450.00	Facility		$2,395.00	$3,456.07	$6,450.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.54 / $395.13 / $697.14	Professional		$142.54	$395.13	$697.14
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 $177.65 / $324.79 / $701.18	Professional		$177.65	$324.79	$701.18
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $549.19 / $886.65 / $1,215.58	Facility		$549.19	$886.65	$1,215.58
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $333.18 / $431.39 / $572.23	Professional		$333.18	$431.39	$572.23
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,414.52 / $2,414.52 / $4,276.22	Facility		$2,414.52	$2,414.52	$4,276.22
Health New England Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $281.48 / $570.10	Professional		$124.68	$281.48	$570.10
United Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $4,939.00 / $7,560.00	Facility		$911.00	$4,939.00	$7,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.22 / $455.33 / $1,116.84	Professional		$251.22	$455.33	$1,116.84