Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.79 / $4,450.00 / $9,161.86	Facility		$1,360.79	$4,450.00	$9,161.86
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $74.78 / $91.99 / $148.54	Facility	52	$74.78	$91.99	$148.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.91 / $36.79 / $59.42	Facility	53	$29.91	$36.79	$59.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $217.09 / $421.87	Professional		$120.56	$217.09	$421.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $86.57 / $143.86 / $227.84	Professional	52	$86.57	$143.86	$227.84
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $34.63 / $57.54 / $91.14	Professional	53	$34.63	$57.54	$91.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,826.00 / $4,945.58 / $8,888.00	Facility		$2,826.00	$4,945.58	$8,888.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $326.52 / $531.71	Professional		$120.90	$326.52	$531.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.27 / $286.88 / $547.78	Professional		$149.27	$286.88	$547.78
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $224.16 / $367.56 / $429.10	Professional		$224.16	$367.56	$429.10
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,510.57 / $2,510.57 / $2,510.57	Facility		$2,510.57	$2,510.57	$2,510.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $387.50 / $522.76	Professional		$33.58	$387.50	$522.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,849.00 / $4,647.00 / $9,338.00	Facility		$1,849.00	$4,647.00	$9,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $359.11 / $680.60	Professional		$216.18	$359.11	$680.60