Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,124.69 / $5,361.88 / $9,993.41	Facility		$2,124.69	$5,361.88	$9,993.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,989.62 / $5,576.00 / $9,650.42	Facility	50	$1,989.62	$5,576.00	$9,650.42
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $140.04 / $144.74 / $445.86	Facility	52	$140.04	$144.74	$445.86
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $56.02 / $57.89 / $178.34	Facility	53	$56.02	$57.89	$178.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $519.46 / $940.67	Professional		$160.16	$519.46	$940.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.35 / $5,786.00 / $12,624.00	Facility		$3,939.35	$5,786.00	$12,624.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.31 / $415.47 / $1,303.53	Professional		$210.31	$415.47	$1,303.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $307.73 / $623.21 / $1,955.30	Professional	50	$307.73	$623.21	$1,955.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.56 / $460.03 / $1,020.54	Professional		$214.56	$460.03	$1,020.54
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $624.92 / $2,563.57 / $2,800.31	Professional		$624.92	$2,563.57	$2,800.31
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,567.25 / $1,567.25 / $2,182.82	Facility		$1,567.25	$1,567.25	$2,182.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $134.24 / $134.24 / $391.68	Professional		$134.24	$134.24	$391.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $7,010.00 / $11,152.00	Facility		$4,565.00	$7,010.00	$11,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.69 / $737.69 / $1,475.83	Professional		$434.69	$737.69	$1,475.83