Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.58 / $4,487.51 / $7,629.00	Facility		$1,260.58	$4,487.51	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $132.74 / $165.96 / $385.52	Facility	52	$132.74	$165.96	$385.52
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $53.10 / $66.39 / $154.21	Facility	53	$53.10	$66.39	$154.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.50 / $283.18 / $773.98	Professional		$179.50	$283.18	$773.98
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 $199.07 / $358.37 / $968.12	Professional		$199.07	$358.37	$968.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.44 / $1,121.14 / $2,687.00	Facility		$789.44	$1,121.14	$2,687.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.41 / $396.27 / $969.63	Professional		$221.41	$396.27	$969.63
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 $264.66 / $571.73 / $759.76	Professional		$264.66	$571.73	$759.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $140.24 / $280.47 / $523.95	Professional		$140.24	$280.47	$523.95
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 $314.39 / $539.34 / $1,483.95	Professional		$314.39	$539.34	$1,483.95