Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.90 / $4,392.95 / $8,031.00	Facility		$972.90	$4,392.95	$8,031.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,480.00 / $3,480.00 / $3,480.00	Facility	22	$3,480.00	$3,480.00	$3,480.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $150.52 / $299.57 / $439.68	Facility	52	$150.52	$299.57	$439.68
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.21 / $75.38 / $175.87	Facility	53	$60.21	$75.38	$175.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.24 / $429.79 / $1,020.00	Professional		$221.24	$429.79	$1,020.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $110.61 / $225.94 / $487.86	Professional	52	$110.61	$225.94	$487.86
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $44.25 / $94.22 / $181.19	Professional	53	$44.25	$94.22	$181.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $3,456.07 / $6,543.00	Facility		$2,402.00	$3,456.07	$6,543.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.11 / $608.83 / $870.11	Professional		$205.11	$608.83	$870.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,337.58 / $1,623.02	Facility		$1,020.00	$1,337.58	$1,623.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.80 / $514.30 / $1,038.25	Professional		$286.80	$514.30	$1,038.25
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $735.56 / $886.65 / $1,215.58	Facility		$735.56	$886.65	$1,215.58
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $438.75 / $667.36 / $980.34	Professional		$438.75	$667.36	$980.34
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,104.42 / $2,758.20 / $3,244.93	Facility		$2,104.42	$2,758.20	$3,244.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $312.58 / $680.68	Professional		$180.81	$312.58	$680.68
United Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $4,097.00 / $7,560.00	Facility		$911.00	$4,097.00	$7,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.16 / $721.30 / $1,677.99	Professional		$384.16	$721.30	$1,677.99