Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,420.00 / $9,675.70 / $13,387.00	Facility		$5,420.00	$9,675.70	$13,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $490.50 / $490.50 / $626.62	Facility	52	$490.50	$490.50	$626.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $196.20 / $196.20 / $250.65	Facility	53	$196.20	$196.20	$250.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.69 / $981.00 / $2,860.00	Professional		$632.69	$981.00	$2,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,526.90 / $11,820.00 / $15,551.00	Facility		$7,526.90	$11,820.00	$15,551.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.49 / $1,451.14 / $1,854.65	Professional		$649.49	$1,451.14	$1,854.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.00 / $7,143.86 / $15,224.00	Facility		$998.00	$7,143.86	$15,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.67 / $1,052.60 / $1,976.16	Professional		$713.67	$1,052.60	$1,976.16
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $1,608.60 / $5,260.98 / $5,538.28	Facility		$1,608.60	$5,260.98	$5,538.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $829.79 / $1,118.27 / $1,372.20	Professional		$829.79	$1,118.27	$1,372.20
Health New England Facility/Professional Facility Modifier Low / Median / High Price $7,822.40 / $10,788.05 / $20,247.82	Facility		$7,822.40	$10,788.05	$20,247.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $288.16 / $1,349.55	Professional		$150.09	$288.16	$1,349.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,354.00 / $10,348.00 / $18,238.00	Facility		$1,354.00	$10,348.00	$18,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.89 / $1,059.78 / $2,492.01	Professional		$589.89	$1,059.78	$2,492.01