Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.06 / $4,531.00 / $7,629.00	Facility		$711.06	$4,531.00	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $150.49 / $188.45 / $443.43	Facility	52	$150.49	$188.45	$443.43
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.19 / $75.38 / $177.37	Facility	53	$60.19	$75.38	$177.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.54 / $418.94 / $730.09	Professional		$198.54	$418.94	$730.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,395.00 / $3,371.00 / $7,588.00	Facility		$2,395.00	$3,371.00	$7,588.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.76 / $607.76 / $867.63	Professional		$204.76	$607.76	$867.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.64 / $1,409.72 / $1,623.02	Facility		$992.64	$1,409.72	$1,623.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.16 / $490.99 / $1,004.59	Professional		$276.16	$490.99	$1,004.59
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 $545.10 / $728.31 / $1,039.15	Professional		$545.10	$728.31	$1,039.15
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,706.08 / $2,706.08 / $2,706.08	Facility		$2,706.08	$2,706.08	$2,706.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $204.36 / $406.75	Professional		$90.41	$204.36	$406.75
United Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $4,489.00 / $7,560.00	Facility		$911.00	$4,489.00	$7,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.04 / $685.20 / $1,713.42	Professional		$378.04	$685.20	$1,713.42