Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.99 / $4,722.42 / $7,629.00	Facility		$869.99	$4,722.42	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $131.84 / $165.41 / $621.57	Facility	52	$131.84	$165.41	$621.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $395.03 / $997.25	Professional		$170.34	$395.03	$997.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,395.00 / $4,000.00 / $6,450.00	Facility		$2,395.00	$4,000.00	$6,450.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.13 / $366.01 / $1,500.71	Professional		$198.13	$366.01	$1,500.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,924.63 / $2,687.00	Facility		$1,020.00	$1,924.63	$2,687.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.59 / $413.35 / $1,519.01	Professional		$221.59	$413.35	$1,519.01
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $735.56 / $886.65 / $1,552.85	Facility		$735.56	$886.65	$1,552.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $674.60 / $1,152.27	Professional		$243.75	$674.60	$1,152.27
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,549.25 / $1,549.25 / $1,549.25	Facility		$1,549.25	$1,549.25	$1,549.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $252.76 / $278.86 / $519.28	Professional		$252.76	$278.86	$519.28
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 $394.75 / $906.45 / $2,271.85	Professional		$394.75	$906.45	$2,271.85