Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.93 / $4,099.39 / $7,629.00	Facility		$1,089.93	$4,099.39	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.06 / $191.40 / $295.43	Facility	52	$54.06	$191.40	$295.43
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.62 / $27.08 / $118.17	Facility	53	$21.62	$27.08	$118.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $162.66 / $474.90	Professional		$71.65	$162.66	$474.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.00 / $4,451.02 / $7,714.00	Facility		$2,613.00	$4,451.02	$7,714.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $216.24 / $618.77	Professional		$86.80	$216.24	$618.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $1,090.14 / $1,255.08	Facility		$767.00	$1,090.14	$1,255.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $244.99 / $678.50	Professional		$102.02	$244.99	$678.50
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $549.19 / $692.00 / $1,022.18	Facility		$549.19	$692.00	$1,022.18
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $341.40 / $561.86	Professional		$146.25	$341.40	$561.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $214.81 / $461.00	Professional		$148.00	$214.81	$461.00
United Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $4,342.00 / $7,760.00	Facility		$634.00	$4,342.00	$7,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.33 / $407.16 / $1,121.49	Professional		$239.33	$407.16	$1,121.49