Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,388.44 / $5,623.41	Facility		$933.25	$3,388.44	$5,623.41
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,995.26 / $1,995.26 / $2,754.23	Facility	52	$1,995.26	$1,995.26	$2,754.23
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.25 / $234.42 / $3,981.07	Facility	53	$141.25	$234.42	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $954.99	Professional		$181.97	$363.08	$954.99
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $83.18 / $154.88 / $309.03	Professional	53	$83.18	$154.88	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $10,471.29	Facility		$2,137.96	$3,162.28	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $501.19 / $707.95	Professional		$208.93	$501.19	$707.95
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $91.20 / $190.55 / $281.84	Professional	53	$91.20	$190.55	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,258.93	Facility		$1,023.29	$1,148.15	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $851.14	Professional		$229.09	$426.58	$851.14
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $144.54 / $213.80 / $363.08	Professional	53	$144.54	$213.80	$363.08
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $1,023.29	Facility		$758.58	$977.24	$1,023.29
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $616.60 / $977.24	Professional		$147.91	$616.60	$977.24
ConnectiCare Facility/Professional Professional Modifier 53 Low / Median / High Price $234.42 / $316.23 / $389.05	Professional	53	$234.42	$316.23	$389.05
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,344.23	Facility		$1,737.80	$2,089.30	$2,344.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $380.19 / $602.56	Professional		$169.82	$380.19	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,073.80 / $7,585.78	Facility		$912.01	$4,073.80	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $758.58	Professional		$177.83	$346.74	$758.58
United Facility/Professional Professional Modifier 53 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	53	$117.49	$117.49	$117.49