Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.44 / $4,228.00 / $7,629.00	Facility		$460.44	$4,228.00	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $60.05 / $63.28 / $79.15	Facility	52	$60.05	$63.28	$79.15
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.02 / $25.31 / $31.66	Facility	53	$24.02	$25.31	$31.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $129.28 / $372.38	Professional		$89.26	$129.28	$372.38
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $61.33 / $76.81 / $114.60	Professional	52	$61.33	$76.81	$114.60
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $25.31 / $31.66 / $57.61	Professional	53	$25.31	$31.66	$57.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,998.99 / $6,273.00 / $11,797.00	Facility		$4,998.99	$6,273.00	$11,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $187.14 / $269.05	Professional		$80.51	$187.14	$269.05
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 $110.24 / $159.52 / $250.61	Professional		$110.24	$159.52	$250.61
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $167.30 / $170.64	Professional		$167.30	$167.30	$170.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $430.75 / $430.75 / $517.63	Facility		$430.75	$430.75	$517.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $161.16 / $188.41	Professional		$137.68	$161.16	$188.41
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 $103.24 / $166.37 / $287.11	Professional		$103.24	$166.37	$287.11