Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.75 / $4,392.95 / $7,629.00	Facility		$927.75	$4,392.95	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.21 / $129.80 / $384.08	Facility	52	$104.21	$129.80	$384.08
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.68 / $51.92 / $153.63	Facility	53	$41.68	$51.92	$153.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $310.58 / $719.25	Professional		$127.89	$310.58	$719.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,395.00 / $3,371.00 / $6,450.00	Facility		$2,395.00	$3,371.00	$6,450.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.11 / $456.05 / $934.32	Professional		$162.11	$456.05	$934.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,257.25 / $2,687.00	Facility		$1,020.00	$1,257.25	$2,687.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.47 / $384.79 / $873.78	Professional		$192.47	$384.79	$873.78
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $735.56 / $886.65 / $1,215.58	Facility		$735.56	$886.65	$1,215.58
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $290.06 / $480.78 / $739.54	Professional		$290.06	$480.78	$739.54
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,076.26 / $1,622.47 / $2,085.89	Facility		$1,076.26	$1,622.47	$2,085.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $238.48 / $404.29	Professional		$140.38	$238.48	$404.29
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 $335.64 / $607.98 / $1,308.57	Professional		$335.64	$607.98	$1,308.57