Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.48 / $3,711.00 / $7,629.00	Facility		$925.48	$3,711.00	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $42.13 / $52.56 / $188.05	Facility	52	$42.13	$52.56	$188.05
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.85 / $21.03 / $75.22	Facility	53	$16.85	$21.03	$75.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $137.25 / $319.25	Professional		$59.00	$137.25	$319.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,536.00 / $4,203.74 / $7,588.00	Facility		$2,536.00	$4,203.74	$7,588.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $148.69 / $402.86	Professional		$68.09	$148.69	$402.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.34 / $371.61 / $767.00	Facility		$233.34	$371.61	$767.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $193.98 / $453.66	Professional		$78.44	$193.98	$453.66
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $626.58 / $809.30 / $1,135.28	Facility		$626.58	$809.30	$1,135.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $230.95 / $431.24	Professional		$116.03	$230.95	$431.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $174.16 / $300.35	Professional		$56.75	$174.16	$300.35
United Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $4,210.00 / $6,535.00	Facility		$634.00	$4,210.00	$6,535.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $269.17 / $717.48	Professional		$155.02	$269.17	$717.48