Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.06 / $3,397.00 / $7,629.00	Facility		$114.06	$3,397.00	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.91 / $23.40 / $57.03	Facility	52	$22.91	$23.40	$57.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $79.56 / $120.78	Professional		$32.45	$79.56	$120.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.61 / $47.97 / $76.45	Professional	52	$20.61	$47.97	$76.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,824.00 / $8,848.00 / $11,797.00	Facility		$7,824.00	$8,848.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $73.23 / $178.54	Professional		$35.46	$73.23	$178.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $84.73 / $173.60	Professional		$41.18	$84.73	$173.60
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $102.97 / $108.51	Professional		$102.97	$102.97	$108.51
Health New England Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $135.19 / $199.01	Facility		$135.19	$135.19	$199.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $55.07 / $55.07	Professional		$55.07	$55.07	$55.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $105.91 / $197.19	Professional		$64.91	$105.91	$197.19