Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,609.42 / $5,297.00 / $9,622.85	Facility		$2,609.42	$5,297.00	$9,622.85
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $248.94 / $248.94 / $311.11	Facility	52	$248.94	$248.94	$311.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $99.57 / $99.57 / $124.44	Facility	53	$99.57	$99.57	$124.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.20 / $491.58 / $959.15	Professional		$343.20	$491.58	$959.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $816.76 / $2,807.00 / $10,956.00	Facility		$816.76	$2,807.00	$10,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.56 / $810.01 / $979.18	Professional		$298.56	$810.01	$979.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.00 / $3,113.54 / $3,584.65	Facility		$998.00	$3,113.54	$3,584.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.06 / $602.66 / $1,176.78	Professional		$322.06	$602.66	$1,176.78
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $837.20 / $1,077.65 / $1,552.85	Facility		$837.20	$1,077.65	$1,552.85
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $398.98 / $538.77 / $911.06	Professional		$398.98	$538.77	$911.06
Health New England Facility/Professional Facility Modifier Low / Median / High Price $863.06 / $863.06 / $7,288.52	Facility		$863.06	$863.06	$7,288.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $516.83 / $952.83	Professional		$432.00	$516.83	$952.83
United Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $4,939.00 / $8,879.00	Facility		$911.00	$4,939.00	$8,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $516.67 / $1,222.91	Professional		$305.77	$516.67	$1,222.91