Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.23 / $4,572.17 / $8,000.71	Facility		$997.23	$4,572.17	$8,000.71
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.42 / $144.16 / $1,164.73	Facility	52	$115.42	$144.16	$1,164.73
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.17 / $57.67 / $465.89	Facility	53	$46.17	$57.67	$465.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.18 / $255.27 / $1,747.05	Professional		$156.18	$255.27	$1,747.05
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 $173.20 / $319.94 / $2,724.99	Professional		$173.20	$319.94	$2,724.99
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 $191.12 / $370.68 / $2,786.35	Professional		$191.12	$370.68	$2,786.35
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 $229.80 / $1,144.02 / $2,045.38	Professional		$229.80	$1,144.02	$2,045.38
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 $115.73 / $243.93 / $433.18	Professional		$115.73	$243.93	$433.18
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 $298.42 / $1,689.24 / $4,054.30	Professional		$298.42	$1,689.24	$4,054.30