Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.66 / $4,280.34 / $7,629.00	Facility		$917.66	$4,280.34	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $190.70 / $238.00 / $452.81	Facility	52	$190.70	$238.00	$452.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $76.28 / $95.20 / $181.12	Facility	53	$76.28	$95.20	$181.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.45 / $466.21 / $1,089.51	Professional		$266.45	$466.21	$1,089.51
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $53.84 / $103.12 / $217.90	Professional	53	$53.84	$103.12	$217.90
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 $259.37 / $710.84 / $979.18	Professional		$259.37	$710.84	$979.18
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 $346.11 / $596.61 / $1,116.61	Professional		$346.11	$596.61	$1,116.61
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 $541.15 / $736.75 / $1,105.16	Professional		$541.15	$736.75	$1,105.16
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,546.82 / $3,093.64 / $4,208.84	Facility		$1,546.82	$3,093.64	$4,208.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $535.22 / $730.65	Professional		$213.10	$535.22	$730.65
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 $419.86 / $721.52 / $1,743.66	Professional		$419.86	$721.52	$1,743.66