Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.05 / $6,653.00 / $9,292.00	Facility		$1,549.05	$6,653.00	$9,292.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $168.53 / $210.43 / $759.52	Facility	52	$168.53	$210.43	$759.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.74 / $683.78 / $1,252.50	Professional		$229.74	$683.78	$1,252.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $4,634.53 / $8,931.00	Facility		$2,807.00	$4,634.53	$8,931.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.41 / $743.23 / $2,154.02	Professional		$285.41	$743.23	$2,154.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.00 / $2,555.12 / $2,941.73	Facility		$998.00	$2,555.12	$2,941.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.16 / $642.97 / $1,746.54	Professional		$311.16	$642.97	$1,746.54
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $837.20 / $1,077.65 / $1,552.85	Facility		$837.20	$1,077.65	$1,552.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $855.28 / $1,138.47 / $1,414.93	Professional		$855.28	$1,138.47	$1,414.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $319.25 / $346.36 / $444.54	Professional		$319.25	$346.36	$444.54
United Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $4,939.00 / $8,879.00	Facility		$911.00	$4,939.00	$8,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.97 / $1,277.94 / $2,851.77	Professional		$643.97	$1,277.94	$2,851.77