Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.92 / $4,530.56 / $7,629.00	Facility		$518.92	$4,530.56	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.52 / $155.81 / $413.84	Facility	52	$124.52	$155.81	$413.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.43 / $269.25 / $712.66	Professional		$169.43	$269.25	$712.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,476.00 / $4,356.81 / $7,588.00	Facility		$2,476.00	$4,356.81	$7,588.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.22 / $345.84 / $1,011.72	Professional		$187.22	$345.84	$1,011.72
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 $206.80 / $375.00 / $1,048.00	Professional		$206.80	$375.00	$1,048.00
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 $207.19 / $506.57 / $808.22	Professional		$207.19	$506.57	$808.22
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,414.52 / $3,702.40 / $4,455.22	Facility		$2,414.52	$3,702.40	$4,455.22
Health New England Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $237.85 / $338.55	Professional		$128.63	$237.85	$338.55
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 $313.68 / $582.29 / $1,677.14	Professional		$313.68	$582.29	$1,677.14