Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.50 / $4,246.00 / $8,031.00	Facility		$589.50	$4,246.00	$8,031.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.75 / $35.31 / $239.55	Facility	52	$27.75	$35.31	$239.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $159.77 / $396.78	Professional		$35.07	$159.77	$396.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.57 / $7,824.00 / $11,797.00	Facility		$612.57	$7,824.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $204.28 / $543.98	Professional		$46.34	$204.28	$543.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $326.43 / $998.00	Facility		$204.97	$326.43	$998.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $249.88 / $567.60	Professional		$51.80	$249.88	$567.60
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $556.16 / $809.30 / $1,060.24	Facility		$556.16	$809.30	$1,060.24
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $272.51 / $357.67 / $509.05	Professional		$272.51	$357.67	$509.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $58.16 / $60.22	Professional		$27.25	$58.16	$60.22
United Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $3,134.00 / $6,664.00	Facility		$357.00	$3,134.00	$6,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.91 / $372.26 / $891.46	Professional		$208.91	$372.26	$891.46