Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.89 / $4,450.00 / $8,031.00	Facility		$1,080.89	$4,450.00	$8,031.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.40 / $110.16 / $540.45	Facility	52	$88.40	$110.16	$540.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $238.64 / $824.10	Professional		$130.08	$238.64	$824.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.00 / $4,504.00 / $8,217.00	Facility		$2,613.00	$4,504.00	$8,217.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $292.56 / $1,245.09	Professional		$139.94	$292.56	$1,245.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $1,409.72 / $1,623.02	Facility		$767.00	$1,409.72	$1,623.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.12 / $292.64 / $1,327.01	Professional		$163.12	$292.64	$1,327.01
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $549.19 / $886.65 / $1,552.85	Facility		$549.19	$886.65	$1,552.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $223.90 / $733.64 / $951.39	Professional		$223.90	$733.64	$951.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $502.00 / $502.00	Professional		$502.00	$502.00	$502.00
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 $282.70 / $776.75 / $1,933.37	Professional		$282.70	$776.75	$1,933.37