Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.97 / $4,769.00 / $8,031.00	Facility		$1,205.97	$4,769.00	$8,031.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.20 / $242.56 / $709.26	Facility	52	$194.20	$242.56	$709.26
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $77.68 / $97.02 / $283.70	Facility	53	$77.68	$97.02	$283.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.49 / $592.79 / $1,129.47	Professional		$296.49	$592.79	$1,129.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.00 / $4,504.00 / $7,588.00	Facility		$2,613.00	$4,504.00	$7,588.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $782.95 / $1,136.31	Professional		$263.77	$782.95	$1,136.31
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 $359.85 / $658.48 / $1,689.82	Professional		$359.85	$658.48	$1,689.82
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $735.56 / $886.65 / $1,552.85	Facility		$735.56	$886.65	$1,552.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $560.63 / $859.19 / $1,288.47	Professional		$560.63	$859.19	$1,288.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $217.17 / $522.38 / $980.00	Professional		$217.17	$522.38	$980.00
United Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $5,307.00 / $8,879.00	Facility		$911.00	$5,307.00	$8,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.74 / $1,076.73 / $2,586.16	Professional		$631.74	$1,076.73	$2,586.16