Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.43 / $4,799.88 / $7,629.00	Facility		$960.43	$4,799.88	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $79.91 / $99.21 / $303.11	Facility	52	$79.91	$99.21	$303.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.96 / $87.43 / $121.25	Facility	53	$31.96	$87.43	$121.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $288.86 / $502.36	Professional		$97.31	$288.86	$502.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.57 / $7,714.00 / $11,797.00	Facility		$612.57	$7,714.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.93 / $285.56 / $750.05	Professional		$123.93	$285.56	$750.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $1,121.14 / $1,290.78	Facility		$767.00	$1,121.14	$1,290.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $304.79 / $722.62	Professional		$146.38	$304.79	$722.62
ConnectiCare Facility/Professional Facility Modifier Low / Median / High Price $626.58 / $809.30 / $1,135.28	Facility		$626.58	$809.30	$1,135.28
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $353.74 / $477.67 / $574.98	Professional		$353.74	$477.67	$574.98
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,199.05 / $2,199.05 / $2,199.05	Facility		$2,199.05	$2,199.05	$2,199.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $171.08 / $275.00	Professional		$136.10	$171.08	$275.00
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 $270.12 / $460.39 / $1,104.96	Professional		$270.12	$460.39	$1,104.96